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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Recent advances in pH-sensitive clay nanomaterials for enhanced immunotherapy of solid tumors.
Recent advances in pH-sensitive clay nanomaterials for enhanced immunotherapy of solid tumors.
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肿瘤微环境是一道难以逾越的屏障,其对免疫系统的理化恶劣性使其更为复杂,限制了免疫治疗尤其是 CAR-T 在实体瘤治疗中的临床疗效。为增强免疫治疗,已提出并检验了多种策略,但异常且恶劣的理化微环境(如低 pH、缺氧、高 ROS/RNS 以及营养离子缺乏)始终是提高 CAR-T 和免疫检查点阻断治疗实体瘤疗效所必须应对的关键且普遍挑战。所幸,近期研究表明,某些黏土纳米材料能够纠正肿瘤微环境中异常的 pH 和 O2 水平,并向肿瘤组织募集更多抗肿瘤免疫细胞,打破免疫抑制屏障并在体内抑制肿瘤生长。本小综述简要总结了在肿瘤组织中恢复理化稳态以将冷免疫微环境转化为热免疫微环境、从而增强实体瘤免疫治疗方面的及时进展,并进一步提供我个人对未来研究的观点。
The tumor microenvironment is a formidable barrier, complicated by physicochemical malice to the immune system, limiting the clinical efficacy of immunotherapy, particularly CAR-T, in solid tumor management. Various strategies have been proposed and examined to enhance immunotherapy, while the aberrant and hostile physicochemical microenvironment (such as low pH, hypoxia, high ROS/RNS and deficient nutrient ions) is always a key and general challenge that must be addressed in order to improve the efficacy of CAR-T and immune checkpoint blockage for solid tumor treatment.
Fortunately, recent investigations demonstrate that some clay nanomaterials are able to correct aberrant pH and O 2 levels in the tumor microenvironment and recruit more anti-tumor immune cells into tumor tissues, breaking the immunosuppressive barrier and inhibiting tumor growth in vivo .
This minireview briefly summarizes the timely progress in restoring the physicochemical homeostasis in tumor tissues to convert the 'cold' immune microenvironment to a 'hot' one for enhanced immunotherapy of solid tumors and further provides my personal perspectives for future research.
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