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:Advancing Cancer Immunotherapy Using Lipid Nanoparticle-Based Approaches.
Advancing Cancer Immunotherapy Using Lipid Nanoparticle-Based Approaches.
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癌症免疫疗法,包括过继细胞疗法、癌症疫苗和基于细胞因子的疗法,革新了多种肿瘤的靶向治疗方法。然而,CAR-T 等工程化T细胞疗法的广泛应用仍受生产、全身毒性和递送效率低等问题限制,实体瘤中尤为明显。核酸递送技术近期取得进展,特别是可离子化脂质纳米颗粒(LNP),为克服这些障碍提供了有前景的解决方案。LNP有望递送mRNA和DNA,用于生成CAR-T 细胞、癌症疫苗、双特异性抗体及细胞因子免疫疗法。LNP平台在mRNA COVID-19疫苗及遗传病RNA干扰疗法中的临床成功,进一步验证了其基因递送效能,凸显LNP作为治疗性核酸通用载体的价值。
此外,LNP可优化为现货型制剂,从而根据患者具体需求提供个体化治疗。本综述重点介绍LNP平台在推进癌症免疫治疗mRNA和DNA递送中的作用,探讨其改善CAR-T 细胞生产、推动癌症疫苗发展以及支持双特异性抗体和细胞因子疗法研发的潜力,最终为开发更有效、可规模化且可及性更高的免疫治疗策略铺平道路。
Cancer immunotherapy, including adoptive cell therapies, cancer vaccines, and cytokine-based therapies, have revolutionized targeted approaches in the treatment of different tumors.
However, the broader application of immunotherapies, such as for engineered T cells expressing a chimeric antigen receptor (CAR-T cells), remains limited by challenges in production, systemic toxicity, and inefficient delivery, especially in solid tumors. Recent advances in nucleic acid delivery technologies, notably ionizable lipid nanoparticles (LNP), offer promising solutions to overcome these barriers.
LNPs have shown potential in delivering messenger RNA (mRNA), and DNA for the generation of CAR-T cells, cancer vaccines, bispecific antibodies, and cytokine-based immunotherapies. The clinical success of LNP-based platforms in mRNA COVID-19 vaccines and interference RNA therapies for genetic disorders further validates their effectiveness in gene delivery, highlighting LNPs as versatile carriers for therapeutic nucleic acids.
Furthermore, LNPs can be optimized for off-the-shelf formulations, enabling personalized treatments targeting specific patient needs. In this review, we highlight the role of LNP platforms in advancing mRNA and DNA delivery for cancer immunotherapy.
We explore their potential to improve CAR-T cell production, advance cancer vaccines, and support the development of bispecific antibody- and cytokine-based therapies, ultimately paving the way for more effective, scalable, and accessible immunotherapeutic strategies.
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