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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Deciphering and targeting oncogenic pathways through integrated approaches and amino acid metabolism in hematologic malignancies.
Deciphering and targeting oncogenic pathways through integrated approaches and amino acid metabolism in hematologic malignancies.
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白血病、淋巴瘤和多发性骨髓瘤等血液系统恶性肿瘤,是一组由复杂致癌通路和遗传异常驱动的多样化血癌。尽管治疗有所进展,耐药和复发仍是重要临床挑战。本综述提出血癌治疗的整合方法,重点介绍精准医疗、CRISPR基因编辑、免疫疗法(包括CAR-T 细胞和免疫检查点抑制剂),以及氨基酸代谢靶向调节的融合。我们研究驱动肿瘤发展和耐药的分子通路,并强调多组学分析如何促进个体化治疗。近期重编程免疫应答和编辑驱动突变方面的突破,革新了治疗模式。此外,癌细胞的代谢依赖性,尤其氨基酸合成与分解代谢,为治疗提供了新脆弱点。本综述系统阐述转化技术框架,整合分子靶向、免疫调节和代谢调节,以提高血液系统恶性肿瘤疗效并克服治疗耐药。
Hematologic malignancies, including leukemia, lymphoma, and multiple myeloma, represent a diverse group of blood cancers driven by complex oncogenic pathways and genetic aberrations. Despite advances in treatment, resistance and relapse remain significant clinical challenges. This review presents an integrative approach to blood cancer therapy, highlighting the convergence of precision medicine, CRISPR-based gene editing, immunotherapy (including CAR-T cells and immune checkpoint inhibitors), and targeted modulation of amino acid metabolism.
We investigate the molecular pathways driving tumour development and resistance, highlighting how multi-omic profiling facilitates personalised therapy approaches. Recent breakthroughs in reprogramming immune responses and editing driver mutations have revolutionized therapeutic paradigms.
Additionally, the metabolic dependencies of cancer cells, particularly in amino acid biosynthesis and catabolism, offer novel vulnerabilities. This meticulous synthesis outlines a framework for translational techniques that integrate molecular targeting with immunological and metabolic regulation to improve treatment effectiveness and surmount therapeutic resistance in haematologic malignancies.
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