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卵巢癌中的 NK 细胞治疗:从临床前潜力到临床应用与联合策略

英文原题:Natural Killer Cell Therapy in Ovarian Cancer: From Preclinical Potentials to Clinical Applications and Combination Strategies.

PubMed 2026/03/17(内容时间) Int J Biol Sci Q1 · IF 11.7(JCR 2025)

研究概要

卵巢癌是妇科恶性肿瘤中导致死亡的主要原因之一,晚期和复发性疾病的治疗选择有限,凸显了对创新免疫疗法的迫切需求。

中文摘要

卵巢癌是妇科癌症中的主要致死原因之一,晚期和复发性疾病的治疗选择有限,这凸显了对创新免疫疗法的迫切需求。自然杀伤(NK)细胞作为先天免疫系统的重要效应细胞,已被认为是卵巢癌治疗的有前景的候选者。本综述系统性地探讨了基于NK细胞的卵巢癌疗法的演变图景,涵盖其临床前理论基础、临床转化及创新性联合策略。然而,卵巢癌高度免疫抑制的肿瘤微环境(TME)以及肿瘤浸润障碍对其临床疗效构成了重大挑战。在此,我们讨论了多种旨在增强NK细胞活性的治疗策略(如基于细胞因子的药物、NK细胞衔接器和嵌合抗原受体NK细胞),这些策略利用NK细胞的独特特性来补充标准治疗并增强联合免疫疗法。正在进行的临床前和临床研究对于将这些进展转化为有效疗法至关重要,最终将彻底改变卵巢癌的治疗范式。

展开英文摘要原文

Ovarian cancer represents a leading cause of mortality among gynecologic cancers, with limited therapeutic options for advanced and recurrent disease, highlighting an urgent need for innovative immunotherapies. Natural Killer (NK) cells, functioning as crucial effector cells of the innate immune system, have been identified as promising candidates for ovarian cancer treatment. This review systematically examines the evolving landscape of NK cell-based therapies for ovarian cancer, spanning their preclinical rationale, clinical translation, and innovative combination strategies. Nevertheless, the highly immunosuppressive tumor microenvironment (TME) of ovarian cancer and barriers to tumor infiltration pose significant challenges to their clinical efficacy. Here, we discuss various therapeutic strategies (such as cytokine-based agents, NK cell engagers and chimeric antigen receptor NK cells) designed to enhance NK cell activity, which leverage the unique characteristics of NK cells to complement standard treatments and potentiate combination immunotherapies. Ongoing preclinical and clinical investigations are paramount to converting these advances into efficacious therapies, ultimately revolutionizing the therapeutic paradigm for ovarian cancer.

论文信息

作者
Chen T、Lu J、Liu H
单位
Obstetrics & Gynecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, China.China
文献类型
综述
期刊
International journal of biological sciences2026
原文标识
PubMed 42003913 · DOI 10.7150/ijbs.130260