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:Advancements in CAR-T Cell Therapy for Ovarian Cancer: Current Strategies and Future Directions.
嵌合抗原受体(CAR)T 细胞疗法已成为肿瘤学中的一种变革性方法,尤其在血液系统恶性肿瘤中。
嵌合抗原受体(CAR)T细胞疗法已成为肿瘤学中的变革性治疗方法,尤其适用于血液系统恶性肿瘤,但用于卵巢癌等实体瘤仍面临挑战。本综述讨论靶向卵巢癌的CAR-T细胞疗法近期进展,重点关注当前策略和未来方向。文章首先介绍CAR的基本结构,详细说明抗原结合结构域、跨膜结构域和信号结构域等核心组分。随后考察CAR-T设计优化,重点包括双特异性CAR-T、共表达CAR-T、CAR构建体精细调控及细胞因子修饰型CAR-T等创新策略。综述还系统探讨卵巢癌相关抗原靶点,包括HER2和间皮素,以及CD47和L1CAM等较新靶点。此外,文章分析纳米技术如何促进实体瘤CAR-T治疗,特别关注mRNA递送系统、脂质体纳米颗粒、水凝胶平台以及与光热治疗的结合。
Chimeric Antigen Receptor (CAR) T-cell therapy has emerged as a transformative approach in oncology, particularly for hematologic malignancies. However, its application to solid tumors, such as ovarian cancer, remains challenging. This review discusses recent advancements in CAR-T cell therapy specifically targeting ovarian cancer, with a focus on current strategies and future directions. We first introduce the fundamental structure of CARs, detailing the core components including the antigen-binding domain, the transmembrane domain, and the signaling domains. The optimization of CAR-T design is then examined, highlighting innovative strategies such as bispecific CAR-Ts, co-expression CAR-Ts, fine-tuning of CAR constructs, and cytokine-modified CAR-Ts. The review further explores a comprehensive array of antigen targets relevant to ovarian cancer, ranging from HER2 and mesothelin to more novel targets like CD47 and L1CAM. Additionally, we investigate how nanotechnology is enhancing CAR-T cell therapy for solid tumors, with specific attention to mRNA delivery systems, liposomal nanoparticles, hydrogel-based platforms, and the integration of photothermal therapy.
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