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实体瘤 CAR-T 细胞疗法的现状

英文原题:Current state of CAR-T cell therapies for solid tumors.

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Current state of CAR-T cell therapies for solid tumors.

PubMed 2026/02/16(内容时间) Med Q1 · IF 13.3(JCR 2025)

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中文摘要

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。

展开英文摘要原文

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.

论文信息

作者
Rosa R、Liu J、Lu C、Abou-El-Enein M、Murad JP、Priceman SJ
第一作者单位
Department of Medicine, Division of Medical Oncology, Keck School of Medicine of USC, Los Angeles, CA 90033, USA.United States
通讯作者单位
Department of Medicine, Division of Medical Oncology, Keck School of Medicine of USC, Los Angeles, CA 90033, USA; Department of Stem Cell Biology and Regenerative Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA; Department of Immunology and Immune Therapeutics, Keck School of Medicine of USC, Los Angeles, CA 90033, USA; KSOM/Norris Center for Cancer Cellular Immunotherapy Research (CCCIR), Keck School of Medicine of USC, Los Angeles, CA 90033, USA. Electronic address: saul.priceman@med.usc.edu.United States
文献类型
综述
期刊
Med (New York, N.Y.)2026 May 8
原文标识
PubMed 41702407 · DOI 10.1016/j.medj.2026.101028