不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Clinical applications of induced pluripotent stem cell-mediated therapies in cancer: progress, challenges, and future directions.
Clinical applications of induced pluripotent stem cell-mediated therapies in cancer: progress, challenges, and future directions.
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诱导多能干细胞(iPSC)已成为开发血液系统恶性肿瘤创新疗法的变革性平台。其多能性使其可分化为功能性免疫效应细胞,从而生成iPSC来源的嵌合抗原受体(CAR)T细胞和CAR自然杀伤(NK)细胞,作为可规模化的“现货型”免疫疗法,克服供者限制和免疫排斥。这些工程化免疫细胞对抗白血病和淋巴瘤时具有更高的特异性、持久性和细胞毒性。此外,iPSC在再生性血液学方面也具有巨大潜力,可促进化疗或放疗损伤后的骨髓恢复,从而改善癌症幸存者的造血功能。尽管取得这些进展,畸胎瘤形成风险、生产复杂性和成本仍阻碍临床转化。在这些问题得到解决前,其广泛临床应用仍会受限。然而,持续研究有望释放iPSC的潜力,通过提高创新免疫疗法的疗效、安全性和可及性,推动个体化癌症治疗变革。
Induced pluripotent stem cells (iPSCs) have emerged as a transformative platform for developing innovative therapies against hematological malignancies.
Their pluripotent nature allows differentiation into functional immune effector cells, enabling the generation of iPSC-derived chimeric antigen receptor (CAR)-T and CAR-natural killer (NK) cells as scalable "off-the-shelf" immunotherapies that overcome donor limitations and immune rejection. These engineered immune cells exhibit improved specificity, persistence, and cytotoxicity against leukemia and lymphoma.
Moreover, iPSCs hold great promise in regenerative hematology, as they facilitate bone marrow recovery after chemotherapy or radiation-induced damage, thereby enhancing hematopoietic function in cancer survivors. Despite these advances, clinical translation remains challenged by the risks of teratoma formation, manufacturing complexity, and cost.
Until these issues are mitigated, widespread clinical application will be thwarted. Yet ongoing research holds the key to unlocking their potential to transform personalized cancer therapy by improving the effectiveness, safety, and availability of innovative immunotherapies.
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