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B 细胞淋巴瘤中的 CAR-T 细胞耗竭:现状、机制与潜在解决方案

英文原题:CAR-T cell exhaustion in B cell lymphoma: Current status, mechanisms, and potential solutions.

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CAR-T cell exhaustion in B cell lymphoma: Current status, mechanisms, and potential solutions.

PubMed 2025/11/24(内容时间) Mol Ther Oncol Q1 · IF 8.5(JCR 2025)

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中文摘要

CAR-T 细胞疗法是治疗难治或复发性血液系统恶性肿瘤(包括淋巴瘤)的革命性方法。尽管疗效显著,仍有相当一部分患者在初始应答后出现疾病进展或复发;肿瘤微环境(TME)中的CAR-T 细胞耗竭是疗效不理想的重要原因。本综述讨论CAR-T 治疗淋巴瘤的临床现状、CAR-T 细胞耗竭机制及可能的克服策略,以期为改善淋巴瘤患者治疗结局带来希望。

展开英文摘要原文

Chimeric antigen receptor T cell (CAR-T) therapy represents a revolutionary approach in the treatment of refractory or relapsed hematological malignancies including lymphoma. Despite its efficacy, a significant subset of patients experiences disease progression or relapse after initial response, and CAR-T cell exhaustion in the tumor microenvironment (TME) is a critical cause for the unsatisfactory responses.

This review discusses the current situation of CAR-T therapies in the clinical treatment of lymphoma patients, the mechanisms of CAR-T cell exhaustion, and potential strategies to overcome CAR-T cell exhaustion, thereby bringing hope to improve therapeutic outcomes for lymphoma patients.

论文信息

作者
Zhao R、Xia J、Zheng Y、Huang W、Yu L、Wang L
单位
Department of Hematology and Oncology, Shenzhen University General Hospital, Shenzhen, China.China
文献类型
综述
期刊
Molecular therapy. Oncology2026 Mar 19
原文标识
PubMed 41502492 · DOI 10.1016/j.omton.2025.201099