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:Cell therapies against brain tumors: Clinical development and emerging prospects.
Cell therapies against brain tumors: Clinical development and emerging prospects.
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恶性脑肿瘤,尤其是多形性胶质母细胞瘤(GBM),具有侵袭性强、致死率高的特点。过去30年来,现行脑肿瘤标准治疗的临床疗效有限,未见显著改善。鉴于嵌合抗原受体(CAR)T细胞在临床治疗某些癌症方面取得成功,过继细胞疗法已成为脑肿瘤一种有希望的治疗方式。针对GBM的细胞疗法临床试验(包括CAR-T)已经启动,但尚无相关疗法获批,已完成试验也揭示了新的挑战。正在开展的临床试验和近期临床前研究正着手解决这些问题。本文概述脑肿瘤细胞疗法的临床研究格局,分析过去及正在进行的203项相关临床试验,讨论临床转化障碍,并介绍应对挑战的新兴方法。此外,我们回顾部分有望提高治疗细胞对脑肿瘤疗效的临床前研究,并讨论未来前景。
Malignant brain tumors, particularly glioblastoma multiforme (GBM), are aggressive and fatal cancers. The clinical efficacy of current standard-of-care treatments against brain tumors has been minimal, with no significant improvement over the past 30 years. Driven by the success of chimeric antigen receptor (CAR)-T cells in the clinic for treating certain types of cancer, adoptive cell therapies have been of interest as a hopeful therapeutic modality for brain tumors.
Clinical trials of GBM-targeting cell therapies, including CAR-T cells, have been initiated; however, none of them have been approved yet, and new challenges have emerged from the completed clinical trials. These issues are being addressed in ongoing clinical trials and recent preclinical research efforts.
Herein, we present an overview of the clinical landscape of cell therapies against brain tumors.
We analyze past and active 203 clinical trials focusing on cell therapies for brain tumors, discuss limitations for their clinical translation, and highlight emerging approaches to address these challenges.
In addition, we review select preclinical studies that show promise to improve the therapeutic efficacy of therapeutic cells on brain tumors and discuss future prospects.
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