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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Synergistic innovations of nanomedicine in lymphoma treatment: a systematic review.
Synergistic innovations of nanomedicine in lymphoma treatment: a systematic review.
分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。
淋巴瘤治疗面临持续挑战,包括肿瘤异质性、耐药性和免疫抑制微环境,尤其是在复发/难治性病例中。当前的治疗方法,如化疗、靶向治疗和细胞疗法,受限于靶向性欠佳、全身毒性和制造复杂性,凸显了对创新解决方案的迫切需求。纳米医学已成为一种变革性方法,将材料设计与治疗策略相结合以应对这些障碍。这篇对133项临床前研究的综述强调了关键进展:脂质和聚合物基纳米颗粒占据主导地位,天然材料的使用日益增多,以及被动EPR靶向与CD20介导等主动策略的结合。刺激响应系统,特别是pH敏感平台,进一步增强了精准药物递送,在提高疗效的同时降低毒性。人工智能通过整合多组学数据并利用机器学习优化纳米颗粒设计,加速了进展,增强了精准性和个性化。
此外,纳米技术推进了成像,最大限度地减少了化疗诱导的毒性,并实现了体内CAR-T 生成,提供了更安全且可扩展的治疗选择。
然而,临床转化面临障碍,包括可扩展制造、单细胞组学指导的纳米颗粒设计,以及验证免疫微环境相互作用的人源化模型。解决这些挑战对于充分实现纳米医学和AI整合的潜力至关重要,将推动下一代精准淋巴瘤治疗平台的发展。
Lymphoma therapy faces persistent challenges, including tumor heterogeneity, drug resistance, and immunosuppressive microenvironments, particularly in relapsed or refractory cases. Current treatments, such as chemotherapy, targeted therapy, and cell-based therapies, are limited by suboptimal targeting, systemic toxicity, and manufacturing complexities, highlighting the urgent need for innovative solutions. Nanomedicine has emerged as a transformative approach, integrating material design with therapeutic strategies to address these barriers.
This review of 133 preclinical studies highlights key advancements: the dominance of lipid- and polymer-based nanoparticles, increasing use of natural materials, and the combination of passive EPR-based targeting with active strategies like CD20-mediated approaches.
Stimuli-responsive systems, particularly pH-sensitive platforms, further enhance precision drug delivery, improving efficacy while reducing toxicity. Artificial intelligence accelerates progress by integrating multi-omics data and utilizing machine learning to optimize nanoparticle design, enhancing precision and personalization.
Additionally, nanotechnology has advanced imaging, minimized chemotherapy-induced toxicity, and enabled in vivo CAR-T generation, offering safer and scalable therapeutic options.
However, clinical translation faces hurdles, including scalable manufacturing, single-cell omics-guided nanoparticle design, and humanized models to validate immune microenvironment interactions. Addressing these challenges is essential to fully realize the potential of nanomedicine and AI integration, driving next-generation platforms for precision lymphoma therapy.
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