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基于纳米颗粒的 CAR-T 细胞免疫治疗策略:挑战、意义与前景

英文原题:Nanoparticle-based strategy in CAR-T cell immunotherapy: challenges, implications, and perspectives.

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Nanoparticle-based strategy in CAR-T cell immunotherapy: challenges, implications, and perspectives.

PubMed 2025/11/04(内容时间) Mol Cancer Q1 · IF 42.2(JCR 2025)

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中文摘要

嵌合抗原受体(CAR)-T细胞疗法在治疗血液系统恶性肿瘤方面取得了显著进展,但其更广泛的应用仍面临制造复杂性、实体瘤微环境屏障和免疫毒性等挑战。纳米颗粒(NPs)凭借其精准递送、免疫调节和多功能整合能力,为优化CAR-T 细胞疗法提供了创新策略。本综述全面阐述了CAR-T 细胞疗法的基本框架及其在肿瘤学应用中的挑战。随后,我们系统总结了NPs与CAR-T 细胞疗法之间的协同机制,包括优化基因修饰、增强肿瘤部位浸润、调节免疫抑制性肿瘤微环境、缓解肿瘤抗原异质性、实时监测以及细胞活性的动态控制。最后,本文重点介绍了人工智能在该领域整合的新兴范式,同时讨论了相关技术障碍以及该联合治疗方法的未来前景。

展开英文摘要原文

Chimeric antigen receptor (CAR)-T cell therapy has achieved remarkable progress in treating hematologic malignancies, yet its broader application faces challenges such as manufacturing complexity, solid tumor microenvironment barriers, and immune toxicity. Nanoparticles (NPs), leveraging their precise delivery, immunomodulation, and multifunctional integration capabilities, offer innovative strategies to optimize CAR-T cell therapy. This review provides a comprehensive elucidation of the fundamental framework of CAR-T cell therapy and the challenges in oncological applications.

Subsequently, we systematically summarized the synergistic mechanisms between NPs and CAR-T cell therapy, including optimization of genetic modification, enhancement of tumor site infiltration, modulation of immunosuppressive tumor microenvironments, mitigation of tumor antigen heterogeneity, real-time monitoring, and dynamic control of cellular activity.

Ultimately, it highlights the emerging paradigm of artificial intelligence integration within this domain while discussing the associated technical obstacles and future prospects of this combined therapeutic approach.

论文信息

作者
Shang D、Zhou Z、Shi R、Wang Z、Zhang P、Peng F、Li H、Cheng G
第一作者单位
Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, PR China.China
通讯作者单位
Department of Urology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, PR China. xuran@csu.edu.cn.China
文献类型
综述
期刊
Molecular cancer2025 Nov 4
原文标识
PubMed 41188940 · DOI 10.1186/s12943-025-02476-7