为肝细胞癌武装 GPC3 CAR-T 细胞:多少才足够,下一步是什么?
Armouring GPC3 CAR T cells for hepatocellular carcinoma: how much is enough and what comes next?
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Cellular Cancer Immunotherapy in the Liver Transplant Population for HCC: An Attractive Therapeutic Option for the Next Decade.
Cellular Cancer Immunotherapy in the Liver Transplant Population for HCC: An Attractive Therapeutic Option for the Next Decade.
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免疫细胞治疗已成为对抗肝细胞癌(HCC)的一种有前景的治疗工具。肝移植(LT)仍然是治愈HCC的主要选择;然而,移植后肿瘤复发和新发恶性肿瘤的发生显著影响患者预后。在HCC的LT中应用免疫细胞治疗可能在移植后重建抗肿瘤免疫,而不增加排斥反应的风险。在这篇综述中,我们简要概述了抑制性肿瘤免疫状态及其对HCC肝移植后肿瘤复发和肿瘤新发的影响。我们还审视了针对实体瘤的最新细胞癌症免疫治疗方案,特别关注HCC,并讨论了其局限性。最后,我们总结了在LT中应用细胞癌症免疫治疗的挑战,包括潜在诱导急性排斥反应和免疫抑制剂的抑制作用,以及可能的应对策略。总之,细胞癌症免疫治疗可能为HCC肝移植中的肿瘤复发提供一种潜在有效的治疗方法。
Immunocytotherapy has emerged as a promising therapeutic tool against hepatocellular carcinoma (HCC). Liver transplantation (LT) remains the primary option for curing HCC; however, post-transplant tumor recurrence and the development of new malignancies significantly impact patient prognosis.
The application of immune cell therapy in LT for HCC may reestablish antitumor immunity following transplantation without increasing the risk of rejection. In this review, we provide a concise overview of the suppressive tumor-immune status and its impact on tumor recurrence and the development of neoplastic tumors after LT for HCC.
We also examine the latest cellular cancer immunotherapy regimens for solid tumors, with a particular focus on HCC, and discuss their limitations.
Finally, we summarize the challenges of applying cellular cancer immunotherapy in LT, including the potential induction of acute rejection and the suppressive effects of immunosuppressive agents, as well as potential coping strategies.
In conclusion, cellular cancer immunotherapy may offer a potentially effective treatment for tumor recurrence in LT for HCC.
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