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肿瘤免疫治疗的进展:肿瘤过继性免疫治疗的策略与创新策略

英文原题:Advances in cancer immunotherapy: Strategies and innovations strategies for adoptive immunotherapy of cancer.

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Advances in cancer immunotherapy: Strategies and innovations strategies for adoptive immunotherapy of cancer.

PubMed 2025/01/01(内容时间) Iran J Basic Med Sci Q2 · IF 3.2(JCR 2025)

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中文摘要

癌症免疫治疗已成为肿瘤学中的变革性方法,为传统治疗以外提供了替代选择。本叙述性综述聚焦于主要创新,包括过继细胞治疗(ACT)、CAR-T 细胞、T细胞受体(TCR)工程化、单克隆抗体(mAb)、双特异性抗体(BsAb)和免疫检查点抑制剂(ICI)。文章核心目标是分析这些技术如何增强抗肿瘤应答并帮助克服血液系统和实体瘤的耐药。本综述整合临床前和临床研究的最新发现,以阐述治疗潜力和挑战。主要观察包括CAR-T 细胞治疗血液癌症的临床成功、ICI在实体瘤中的应用扩大,以及BsAb在招募免疫效应细胞方面结构—功能关系的持续演进。本文最后评估这些免疫治疗策略的现有限制,并讨论将其整合至个体化癌症治疗的未来方向。

展开英文摘要原文

Cancer immunotherapy has emerged as a transformative approach in oncology, offering alternatives beyond traditional treatments. This narrative review focuses on major innovations, including adoptive cell therapy (ACT), chimeric antigen receptor T-cells (CAR-T), T-cell receptor (TCR) engineering, monoclonal antibodies (mAbs), bispecific antibodies (BsAbs), and immune checkpoint inhibitors (ICIs). The central aim of this article is to analyze how these technologies improve antitumor responses and help overcome resistance in hematologic and solid tumors.

This narrative review combines the latest findings from clinical and preclinical studies to highlight therapeutic potentials and challenges. Key observations include the clinical success of CAR-T cells in treating blood cancers, the expanding application of ICIs in solid tumors, and the evolving structure-function relationship of BsAbs in recruiting immune effectors. This paper concludes by evaluating the current limitations of these immunotherapeutic strategies and discusses future directions for integrating them into personalized cancer therapy.

论文信息

作者
Moeinzadeh L、Mahmoudian-Sani MR、Purrahman D、Azghadi F、Darbandi MA
第一作者单位
Aryogen Pharmed Biopharmaceutical Research Center, Alborz University of Medical Science, Karaj, Iran.Iran
通讯作者单位
Clinical Research Development Unit, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.Iran
文献类型
综述
期刊
Iranian journal of basic medical sciences2025
原文标识
PubMed 41586193 · DOI 10.22038/ijbms.2025.88384.19090