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IO 亮点:胶质母细胞瘤的新一代 CAR-T 疗法

英文原题:Highlights in IO: next-generation CAR-T therapy for glioblastoma.

查看英文原题

Highlights in IO: next-generation CAR-T therapy for glioblastoma.

PubMed 2026/04/01(内容时间) J Immunother Cancer Q1 · IF 11.7(JCR 2025)

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中文摘要

过去几年中,已报告了多项评估嵌合抗原受体(CAR)-T细胞疗法治疗胶质母细胞瘤(GBM)的1期临床试验的结果和发现。CAR-T 细胞疗法要在GBM中取得成功,必须克服若干挑战,包括免疫抑制微环境(免疫抑制细胞、缺氧和代谢限制)、抗原异质性以及解剖学上隔离的环境。为应对这些挑战,已开发出下一代CAR-T 细胞——即经过工程化改造以具备额外功能的CAR-T 细胞,而评估这些下一代CAR-T 疗法治疗GBM的1期临床试验现已启动。针对GBM的CAR-T 疗法开发已进入新篇章。迄今为止,CAR-T 疗法的抗肿瘤疗效仍需提高,神经毒性的高发生率仍是一个需要解决的主要问题;然而,越来越多的人期待下一代CAR-T 疗法可能为患者带来临床获益。

展开英文摘要原文

Over the past few years, outcomes and findings from several phase 1 clinical trials evaluating chimeric antigen receptor (CAR)-T cell therapies for glioblastoma (GBM) have been reported. For CAR-T cell therapy to succeed in GBM, several challenges must be overcome, including the immunosuppressive microenvironment (immunosuppressive cells, hypoxia, and metabolic constraints), antigen heterogeneity, and the anatomically isolated environment.

To address these challenges, next-generation CAR-T cells-those engineered with additional functionalities-have been developed, and phase 1 clinical trials evaluating these next-generation CAR-T therapies for GBM have now been initiated. The development of CAR-T therapy for GBM has entered a new chapter.

To date, the antitumor efficacy of CAR-T therapies still needs to be improved, and the high frequency of neurotoxicity remains a major issue that needs to be addressed; however, there is a growing anticipation that next-generation CAR-T therapies may provide clinical benefit to patients.

论文信息

作者
Yamaguchi J、Okada H
第一作者单位
Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA.United States
通讯作者单位
Department of Neurological Surgery, University of California San Francisco, San Francisco, California, USA hideho.okada@ucsf.edu.United States
文献类型
综述
期刊
Journal for immunotherapy of cancer2026 Apr 1
原文标识
PubMed 41922085 · DOI 10.1136/jitc-2025-014670