← 返回

利用 NK 细胞在淋巴瘤免疫治疗中的力量:克服挑战与优化治疗选择

英文原题:Harnessing the power of natural killer cells in Lymphoma immunotherapy: Overcoming challenges and enhancing treatment options.

查看英文原题

Harnessing the power of natural killer cells in Lymphoma immunotherapy: Overcoming challenges and enhancing treatment options.

PubMed 2026/05/04(内容时间) Hematol Transfus Cell Ther Q3 · IF 1.5(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

免疫治疗,尤其是NK 细胞疗法,因NK 细胞的独特特性而备受关注,其中最重要的是无需预先致敏即可产生快速而强效的抗肿瘤反应。

然而,肿瘤微环境和免疫逃逸机制可损害NK 细胞在淋巴瘤中的功能。为应对这些挑战,研究人员正在探索恢复或增强其活性的治疗干预措施。在多种细胞治疗方法中,如异体或自体NK 细胞输注、嵌合抗原受体NK 细胞以及联合疗法,异体NK 细胞移植已在特定淋巴瘤亚型中显示出前景,可降低移植物抗宿主病风险、提高缓解率、延长缓解期并增加总生存期。将NK 细胞疗法与化疗或免疫检查点抑制剂等标准治疗相结合具有协同效应的潜力。

然而,解决细胞持久性、免疫抑制性肿瘤微环境以及最佳递送方法等挑战对于提高疗效至关重要。需要进一步研究以更好地理解NK 细胞介导的反应、完善基因工程方法、识别预测性生物标志物并优化联合策略。持续的研究和临床试验将在优化细胞疗法和扩大淋巴瘤患者治疗选择方面发挥至关重要的作用。

展开英文摘要原文

Immunotherapy, particularly natural killer cell therapy, is garnering attention for treating lymphoma, due to the unique properties of natural killer cells, most importantly rapid and potent antitumor responses without prior sensitization.

However, the tumor microenvironment and immune escape mechanisms can impair natural killer cell function in lymphoma. To address these challenges, researchers are exploring therapeutic interventions to restore or enhance their activity. Of the various approaches of cell therapy, such as allogeneic- or autologous-natural killer cell infusions, chimeric antigen receptor natural killer cells, and combination therapies, allogeneic natural killer cell transplantation has shown promise in specific subtypes of lymphoma, offering a reduced risk of graft-versus-host disease, improved response rates, prolonged remissions, and increased overall survival.

Combining natural killer cell therapy with standard treatments such as chemotherapy or immune checkpoint inhibitors holds potential for synergistic effects. Nevertheless, addressing challenges such as cell persistence, the immunosuppressive tumor microenvironment, and optimal delivery methods is crucial to improve efficacy.

Further investigations are required to gain a better understanding of natural killer cell-mediated responses, refine genetic engineering approaches, identify predictive biomarkers, and optimize combination strategies. Continued research and clinical trials will play a vital role in optimizing cell therapy and expanding treatment options for lymphoma patients.

论文信息

作者
Roshandel E、Lasemi MV、Mehravar M、Salimi M、Majidi M、Mohammadali F、Seraji HR、Hajifathali A
第一作者单位
Hematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Iran
通讯作者单位
Hematopoietic Stem Cell Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: a.hajifathali@sbmu.ac.ir.Iran
文献类型
综述
期刊
Hematology, transfusion and cell therapy2026 Jul-Sep
原文标识
PubMed 42085893 · DOI 10.1016/j.htct.2026.106352