决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Advances in cancer immunotherapy and future directions in personalized medicine.
癌症免疫疗法通过利用和重编程免疫系统靶向恶性细胞,彻底改变了肿瘤治疗。
癌症免疫疗法通过利用和重编程免疫系统靶向恶性细胞,彻底改变了肿瘤治疗。本综述全面阐述了基于免疫疗法的现代治疗策略,如免疫检查点抑制剂(ICIs)、CAR-T 细胞、mRNA疫苗和基于生物材料的平台,重点关注其转化价值及在精准医学中的应用。本文分析了肿瘤微环境、免疫抵抗机制和T细胞亚群动态(如γδ T细胞、耗竭CD8⁺ T细胞)的新兴见解,以阐明免疫治疗反应变异性。可注射支架、纳米凝胶和人工抗原呈递细胞等生物材料能够实现局部和持续的免疫调节,提高递送精准度和治疗效果。个性化方法,包括新抗原疫苗开发和人工智能(AI)辅助的生物标志物预测,正在快速推进个体化治疗方案。临床试验表明,ICIs、化疗和纳米医学的联合策略可提高患者生存率。尽管面临免疫相关不良事件、生产复杂性和全球可及性差异等挑战,AI和多组学平台的整合有望优化患者分层和治疗结局。这一不断演变的范式使个性化免疫治疗处于未来肿瘤治疗的前沿。
Cancer immunotherapy has revolutionized oncologic treatment by harnessing and reprogramming the immune system to target malignant cells. This review provides a comprehensive picture of modern approaches to immunotherapy-based treatment strategies, such as immune checkpoint inhibitors (ICIs), chimeric antigen receptor T cells, mRNA vaccines, and biomaterials-based platforms, with a focus on their translational value and application to precision medicine. Emerging insights into the tumor microenvironment, immune resistance mechanisms, and T-cell subpopulation dynamics (e.g., γδ T cells, exhausted CD8⁺ T cells) are analyzed to elucidate immunotherapy response variability. Biomaterials such as injectable scaffolds, nanogels, and artificial antigen-presenting cells enable localized and sustained immune modulation, improving delivery precision and therapeutic efficacy. Personalized approaches, including neoantigen vaccine development and artificial intelligence (AI)-assisted biomarker prediction, are rapidly advancing individualized treatment regimens. Clinical trials illustrate how combination strategies with ICIs, chemotherapy, and nanomedicine enhance patient survival. Despite challenges including immune-related adverse events, manufacturing complexity, and global access disparities, integration of AI and multi-omics platforms promises to optimize patient stratification and therapeutic outcomes. This evolving paradigm positions personalized immunotherapy at the forefront of future oncologic care.
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