决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
英文原题:CAR immune cell therapy strategies and advances for lung cancer.
CAR immune cell therapy strategies and advances for lung cancer.
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肺癌具有高异质性、易转移及进展隐匿的特点,是全球最常见的致死性恶性肿瘤之一。目前的治疗手段包括手术切除、放疗、化疗和靶向治疗,以免疫检查点抑制剂为基础的免疫治疗现已被确立为标准治疗方式之一。此外,针对肺癌治疗的新型免疫治疗策略正在研究之中。嵌合抗原受体(CAR)免疫细胞疗法作为一种过继性细胞疗法,已在癌症、自身免疫性疾病和感染等多种疾病中展现出有效的病理细胞清除能力和可控的安全性。本综述总结了CAR工程化免疫细胞用于肺癌治疗的临床前与临床研究进展,重点介绍了研究人员为实现有效CAR-T 治疗所探索的增效策略,以及CAR-NK和CAR-Macrophage(CAR-M)的研究现状,并强调了通过基于CAR的过继性细胞疗法改善肺癌患者生存结局的新兴治疗机遇。
Lung cancer, characterized by its high heterogeneity, propensity for metastasis, and insidious progression, stands as one of the most prevalent lethal malignancies worldwide. Current therapeutic approaches encompass surgical resection, radiotherapy, chemotherapy, and targeted therapy, with immune checkpoint inhibitor-based immunotherapy now established as one of the standard treatment modalities.
Furthermore, novel immunotherapeutic strategies are under investigation for lung cancer treatment. Chimeric antigen receptor (CAR) immune cell therapy, an adoptive cell therapy, has demonstrated effective pathological cell clearance and manageable safety profiles across various diseases including cancers, autoimmune disorders, and infections.
This review summarizes preclinical and clinical advancements in CAR-engineered immune cells for lung cancer treatment, highlighting enhancement strategies explored by researchers to achieve effective CAR-T therapy, as well as the research status of CAR-NK and CAR-Macrophage (CAR-M), and emphasizing emerging therapeutic opportunities to improve survival outcomes in lung cancer patients through CAR-based adoptive cell therapies.
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