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:Convergence of mRNA technology and chimeric antigen receptor therapy: targeted technology optimizing targeted therapy.
工程化细胞以表达嵌合抗原受体(CAR)代表了一种癌症免疫治疗的新方法,在血液系统恶性肿瘤的治疗中展现出显著疗效,同时也面临诸多挑战。
通过工程化细胞表达嵌合抗原受体(CAR)是癌症免疫治疗中的一种新方法,在血液系统恶性肿瘤的治疗中展现出显著疗效,同时也面临诸多挑战。在 COVID-19 mRNA 疫苗广泛应用的背景下,整合 mRNA 技术以生产 CAR 细胞并增强 CAR 疗法,标志着癌症治疗创新的前沿,为传统 CAR 疗法所面临的挑战提供了潜在解决方案。这种融合具有明显优势。它能够在体外和体内生成 CAR 细胞,且无需转基因整合,从而实现瞬时表达,降低各种副作用的风险。同时,这种方法的生产成本较低。因此,该方法未来可能成为现有疗法的一种新颖且有前景的替代方案。在本文中,我们综述了基于 mRNA 的 CAR 疗法的最新进展和临床应用,这些疗法利用 mRNA 技术生成 CAR-T 细胞。此外,我们探讨了 mRNA 技术所支持的多种疗法,如基因编辑和疫苗,以及它们与 CAR 疗法的联合应用。通过分析其挑战与前景,我们旨在为全面提升 CAR 疗法的治疗效果并拓展其临床应用提供新的见解。
Engineering cells to express chimeric antigen receptors (CARs) represents a novel approach in cancer immunotherapy, demonstrating remarkable efficacy in the treatment of hematologic malignancies while also encountering numerous challenges. Against the backdrop of the widespread application of COVID-19 mRNA vaccines, the integration of mRNA technology to produce CAR cells and enhance CAR therapies marks the cutting edge of cancer treatment innovation, offering potential solutions to the challenges faced by traditional CAR therapies. This convergence offers distinct advantages. It enables the generation of CAR cells both in vitro and in vivo without transgene integration, thereby achieving transient expression that reduces the risk of various side effects. Meanwhile, this approach entails lower production costs. This method may therefore serve as a novel and promising alternative to existing therapies in the future. In this article, we review the latest advancements and clinical applications of mRNA-based CAR therapies, which utilize mRNA technology to generate CAR-T cells. Additionally, we explore the diverse therapies enabled by mRNA technology, such as gene editing and vaccines, and their combination with CAR therapies. By analyzing their challenges and prospects, we aim to provide new insights into comprehensively improving the therapeutic efficacy of CAR therapies and expanding their clinical application.
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