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CAR-T 细胞治疗:一种肿瘤治疗策略

英文原题:CAR-T cell therapy: A therapeutic strategy for cancer treatment.

PubMed 2025/11/03(内容时间) Semin Oncol Q1 · IF 6.8(JCR 2025)

研究概要

在二十一世纪,嵌合抗原受体(CAR)-T细胞疗法通过为以前无法治愈的疾病提供新方法和挽救生命的治疗,改变了癌症免疫治疗。

中文摘要

在二十一世纪,嵌合抗原受体(CAR)-T细胞疗法通过为以前无法治愈的疾病提供新颖的方法和挽救生命的治疗,改变了癌症免疫治疗。这种方法目前正在前列腺癌和胶质母细胞瘤等实体瘤,以及病毒性和自身免疫性疾病的临床试验中使用。它在治疗多种血液系统恶性肿瘤方面已显示出令人印象深刻的疗效。采集患者的T细胞,使用病毒载体对其进行基因修饰以表达靶向特定抗原的CAR,然后将修饰后的细胞重新输回患者体内,这就是CAR-T细胞疗法的过程。这些CAR-T细胞能够特异性地检测并摧毁靶细胞,无论主要组织相容性复合体(MHC)抗原是否存在。本综述重点介绍了CAR-T细胞从诞生到应用于医学的发展过程中的主要转折点。它描述了CAR-T细胞的历史发展过程,强调了使其成为突破性疗法的重大进展,并讨论了仍需克服的障碍,例如高昂的生产成本、有限的可用性,以及细胞因子释放综合征和免疫效应细胞相关神经毒性综合征等毒性问题。本综述还展望了该领域的未来发展,目标是扩大治疗用途、最大限度地降低毒性并最大化疗效。随着更安全、更有效的CAR-T细胞疗法的开发,我们乐观地认为,更广泛的癌症患者群体可能很快就能受益于这种创新疗法。

展开英文摘要原文

In the twenty-first century, chimeric antigen receptor (CAR)-T cell therapy has transformed cancer immunotherapy by offering novel approaches and life-saving treatments for illnesses that were previously incurable. This method is currently being used in clinical trials for solid tumors like prostate cancer and glioblastoma, as well as viral and autoimmune illnesses. It has demonstrated impressive efficacy in treating a variety of hematological malignancies. Harvesting a patient's T cells, genetically modifying them using viral vectors to express CARs that target specific antigens, and then reintroducing the altered cells into the patient is the process of CAR-T cell therapy. These CAR-T cells detect and destroy target cells specifically, regardless of the presence of the major histocompatibility complex (MHC) antigen. The major turning points in the development of CAR-T cells, from their creation to their use in medicine, are highlighted in this overview. It describes how CAR-T cells were developed historically, highlights the significant advancements that have made them a ground-breaking treatment, and talks about the obstacles that still need to be overcome, such as the high cost of production, restricted availability, and toxicity problems like cytokine release syndrome and immune effector cell-associated neurotoxicity syndrome. The review also looks at the field's future developments with the goals of increasing therapeutic uses, minimizing toxicity, and maximizing efficacy. With safer and more efficient CAR T cell therapies being developed, we are optimistic that a larger group of cancer patients may soon benefit from this innovative treatment.

论文信息

作者
Sharif S、Sharma U、Yadav AK
第一作者单位
University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, India.India
通讯作者单位
University Institute of Pharmaceutical Sciences, Panjab University, Chandigarh, India. Electronic address: ashoky@pu.ac.in.India
文献类型
综述
期刊
Seminars in oncology2025 Dec
原文标识
PubMed 41187481 · DOI 10.1016/j.seminoncol.2025.152430