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:Combination therapy strategies targeting glypican-3 in hepatocellular carcinoma: A comprehensive review.
Combination therapy strategies targeting glypican-3 in hepatocellular carcinoma: A comprehensive review.
肝细胞癌(HCC)仍然是全球癌症相关死亡的主要原因。
肝细胞癌(HCC)仍然是全球癌症相关死亡的主要原因之一。晚期疾病往往对常规疗法产生耐药,因此推动了针对靶向治疗的深入研究。Glypican-3(GPC3)是HCC中经过充分验证的标志性肿瘤抗原,已成为精准肿瘤学中具有高度潜力的有吸引力的治疗靶点。当前开发新型GPC3靶向治疗的研究策略高度多样化,涵盖细胞免疫疗法(如 CAR-T 和 NK 细胞疗法)、基于抗体的药物、免疫毒素、肽疫苗、基因治疗以及纳米颗粒介导的药物递送系统。尽管临床前和临床研究取得了有前景的进展,但GPC3靶向治疗的临床转化仍受到肿瘤穿透不足、免疫抑制性肿瘤微环境和抗原表达异质性等挑战的限制。因此,近期研究日益转向联合策略。越来越多的实验和早期临床数据表明,GPC3靶向药物可与多种联合治疗有效协同,包括免疫检查点抑制剂、抗血管生成药物、免疫调节剂、酪氨酸激酶抑制剂、放疗、化疗和局部治疗,以增强抗肿瘤疗效。在这篇综述中,我们探讨这些多模式策略在开发更有效HCC治疗方法方面的潜力。因此,未来研究应侧重于通过纳入个体化治疗策略来优化这些联合方案,以实现持久的临床结局。
Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related mortality worldwide. Advanced disease often proves resistant to conventional therapies, thereby driving the intensive search for targeted therapies. Glypican-3 (GPC3), a well-validated, signature tumor antigen in HCC, has emerged as an attractive therapeutic target with high potential for precision oncology. Current research strategies for developing novel GPC3-targeted therapeutics are highly diverse, encompassing cellular immunotherapies (e.g., CAR-T and NK cell therapies), antibody-based agents, immunotoxins, peptide vaccines, gene therapies, and nanoparticle-mediated drug delivery systems. Despite promising preclinical and clinical developments, the clinical translation of GPC3-targeted therapies is limited by challenges such as inadequate tumor penetration, immunosuppressive tumor microenvironment, and heterogeneous antigen expression. Consequently, recent research has increasingly shifted toward combination strategies. A growing body of experimental and early clinical data indicates that GPC3-targeted agents synergize effectively with a broad range of co-treatments, including immune checkpoint inhibitors, antiangiogenics, immune modulators, tyrosine kinase inhibitors, radiotherapy, chemotherapy, and local therapies to enhance antitumoral efficacy. In this review, we examine the potential of these multimodal strategies to develop more effective therapeutic approaches for HCC. Future studies should therefore focus on optimizing these combination regimens by incorporating personalized treatment strategies to achieve durable clinical outcomes.
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