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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Ready or not, here they come: a practical guide to adoptive T-cell therapies for solid tumors for medical oncologists.
Ready or not, here they come: a practical guide to adoptive T-cell therapies for solid tumors for medical oncologists.
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过继性细胞疗法(ACT)包括嵌合抗原受体(CAR)、双特异性T细胞衔接器(BiTE)、TIL(肿瘤浸润淋巴细胞),以及经T细胞受体(TCR)基因改造的T细胞。ACT已显著改善血液系统恶性肿瘤患者的结局。近期进展显示,这类疗法用于实体瘤也具有潜力,令人鼓舞的临床试验结果提示其可能代表肿瘤治疗模式的转变。随着这些疗法逐渐成为实体瘤标准治疗,肿瘤内科医生必须熟练识别和管理其特有毒性,包括细胞因子释放综合征(CRS)和免疫效应细胞相关神经毒性综合征(ICANS)。本综述总结了实体瘤ACT的最新临床数据,重点介绍关键发现和毒性特征,并概述CRS和ICANS的早期识别及循证管理方法。随着ACT日益应用于实体瘤肿瘤学,帮助临床医生掌握毒性管理所需知识,对于优化患者结局至关重要。
Adoptive cell therapies (ACTs) include chimeric antigen receptors (CARs), bispecific T-cell engagers (BiTES), tumor-infiltrating lymphocytes, and T-cell receptor (TCR) gene-modified T-cells. ACTs have significantly improved patient outcomes associated with hematologic malignancies. Recent advances have demonstrated their potential in solid tumors with promising clinical trial results signaling that they represent paradigm shift in oncologic care.
As these therapies become standard care in solid tumors, medical oncologists must become adept at recognizing and managing their unique toxicities including cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS). This review synthesizes the latest clinical data on ACTs in solid tumors, highlighting key findings, and toxicity profiles.
In addition, the review provides an overview of early recognition and evidence-based management of CRS and ICANS. Equipping clinicians with the necessary knowledge to navigate toxicity management will be essential in optimizing patient outcomes as ACTs are increasingly adopted in solid tumor oncology.
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