CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Humanized Immune Mouse Models: Emerging Applications for Cancer Immunotherapy.
Humanized Immune Mouse Models: Emerging Applications for Cancer Immunotherapy.
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肿瘤免疫治疗的临床前疗效通常通过小鼠模型评估。然而,由于物种差异,常规正常或裸鼠模型无法完全模拟人类免疫应答,导致许多小鼠研究结果与临床试验结局不一致。近年来,重度联合免疫缺陷(SCID)小鼠的发展,为在宿主体内重建占比超过25%的人CD45+免疫细胞群开辟了道路,极大帮助研究者应对此类挑战。通过向SCID小鼠植入人CD34+造血细胞、外周血单个核细胞、类器官或胎儿组织,可建立人源化模型。所用小鼠包括多种非肥胖糖尿病型Prkdc−/−IL2rg−/−小鼠(通常称NSG、NCG或NXG)以及表达人细胞因子的小鼠。这些模型不仅赋予宿主人类免疫功能,可用于研究人类先天免疫和特定病毒感染,还可支持人癌细胞来源或患者来源异种移植瘤建立和存活,开展免疫肿瘤学研究。尽管存在移植物抗宿主病和实验周期较短等问题,该方法可用于在人类肿瘤免疫微环境中研究肿瘤生长机制,也能评估靶向人类的免疫疗法及其机制,包括CAR-T、CAR-NK、免疫检查点抑制剂和联合治疗。本文总结SCID小鼠及人源化免疫系统小鼠模型的最新研究进展、现存挑战,以及其在免疫肿瘤学研究中的应用与障碍。
The preclinical efficacy of tumor immunotherapy is often evaluated using mouse models.
However, due to species differences, conventional normal or nude mouse models cannot fully replicate the human immune response, resulting in many mouse-based research findings being inconsistent with the outcomes of clinical trials. Recently, the development of Severe Combined Immunodeficient (SCID) mice has paved the way for the reconstitution of a human CD45+ immune cell population exceeding 25% within the host, greatly assisting researchers in addressing these challenges. By engrafting human CD34+ hematopoietic cells, peripheral blood mononuclear cells, organoids, or fetal tissues into SCID mice-including various non-obese diabetic Prkdc-/-IL2rg-/- mice (commonly referred to as NSG, NCG, or NXG) and NSG mice expressing human cytokines- these models not only confer human immune functionality for the investigation of human innate immunity and specific viral infections but also facilitate the development and survival of human cancer cell-derived or patient-derived xenografts for immuno-oncology research.
Despite the presence of graft-versus-host disease and a short experimental duration, this approach facilitates the investigation of tumor growth mechanisms within a human tumor immune microenvironment. It also enables the evaluation of the efficacy of human-specific immunotherapies, including CART and CAR-NK therapies, immune checkpoint inhibitors, and combination therapies, along with their underlying mechanisms.
This article summarizes the latest research advancements and existing challenges related to SCID mouse models and humanized immune system mouse models, as well as their applications and obstacles in immuno-oncology research.
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