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:Overcoming functional and translational challenges of cellular immunotherapies for solid tumors.
Overcoming functional and translational challenges of cellular immunotherapies for solid tumors.
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近年来,免疫治疗彻底改变了癌症治疗的格局,为原本预后有限的患者提供了有前景的治疗途径。其中最具前景的模式包括细胞疗法,涵盖自体及异体方法,如工程化 T 细胞、NK 细胞、干细胞和细胞疫苗。这些疗法利用免疫细胞固有的识别和清除癌细胞的能力。尽管细胞疗法在血液系统恶性肿瘤中已展现出显著的临床疗效,但关键障碍阻碍了其在实体瘤治疗中的疗效。本综述探讨了阻碍自体和异体细胞基癌症疗法在实体瘤治疗中更广泛临床转化的关键挑战。这些挑战包括限制治疗效果的功能性挑战,以及阻碍有前景的细胞疗法临床开发和实施的转化挑战。我们重点阐述了相关影响因素并评估潜在解决方案,强调创新工程策略、联合方案和新兴技术的协同潜力,以打造下一代针对实体瘤的细胞免疫疗法。
In recent years, immunotherapy has revolutionized the landscape of cancer treatment, offering promising avenues for patients with otherwise limited outcomes. Among the most promising modalities are cell-based therapies, including autologous and allogeneic approaches such as engineered T cells, NK cells, stem cells and cell-based vaccines. These therapies harness the inherent capabilities of immune cells to recognize and eliminate cancer cells.
Although cell therapies have shown remarkable clinical efficacy in hematologic malignancies, critical hurdles impede their efficacy for the treatment of solid tumors. This review examines the key challenges that hinder the broader clinical-translation of autologous and allogeneic cell-based cancer therapies in treating solid tumors. These include functional challenges that limit therapeutic efficacy and translational challenges that impede the clinical development and implementation of promising cellular therapies.
We highlight contributing factors and evaluate potential solutions, emphasizing the synergistic potential of innovative engineering strategies, combination approaches, and emerging technologies to forge the next generation of cellular immunotherapies for solid tumors.
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