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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Current state of CAR-T cell therapies for solid tumors.
Current state of CAR-T cell therapies for solid tumors.
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嵌合抗原受体(CAR)T细胞疗法已改变血液系统恶性肿瘤治疗,但用于实体瘤时遇到显著障碍。本综述探讨实体瘤CAR-T 疗法现状,重点介绍肿瘤抗原高度异质性和免疫抑制性肿瘤微环境等挑战,并总结提高实体瘤CAR-T 疗效的多种临床前和临床策略。这些策略包括设计可同时靶向肿瘤细胞多种抗原的嵌合受体,以及采用联合疗法和装甲化CAR-T 以克服现有限制。尽管实体瘤CAR-T 已取得令人鼓舞的进展,解决其内在挑战仍是重要任务。持续研究这些创新策略,对于成功将CAR-T 用于实体瘤至关重要。
Chimeric antigen receptor (CAR)-T cell therapy has transformed the treatment of hematological malignancies.
However, its application in treating solid tumors has encountered significant obstacles. This review explores the current state of CAR-T cell therapy for solid tumors, highlighting challenges including the pronounced heterogeneity of tumor antigens and the immunosuppressive tumor microenvironment.
We explore a range of preclinical and clinical strategies to enhance the efficacy of solid tumor CAR-T cells. These strategies encompass engineering chimeric receptors that can simultaneously target multiple antigens expressed by tumor cells, as well as implementing combination therapies and armored CAR-T cells to overcome existing limitations.
While encouraging advancements using solid tumor CAR-T cell therapies have been seen, addressing intrinsic challenges remains a significant endeavor. Ongoing investigation of these innovative strategies is essential for the successful application of CAR-T cells in the context of solid tumors.
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