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:Analysis of murine CAR-T cell-mediated cytotoxicity in solid tumor models.
Analysis of murine CAR-T cell-mediated cytotoxicity in solid tumor models.
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基于CAR-T 细胞的免疫疗法是急性淋巴细胞白血病(ALL)和多发性骨髓瘤(MM)等某些血液系统恶性肿瘤治疗领域的重大突破,常可带来很高的缓解率。尽管取得这些成功,许多患者仍在治疗后第一年内复发,凸显了此类疗法的一项关键局限。此外,将CAR-T 疗法的成功拓展至实体瘤仍面临挑战,临床疗效有限,表明需要创新设计和策略以实现持久应答。目前,科学界高度关注如何增强CAR-T 治疗实体瘤的抗肿瘤效力。当前研究主要聚焦两类策略:一是通过基因改造开发增强型第四代和第五代CAR-T 细胞;二是优化制备方案以改善细胞质量和功能。所有这些新型CAR-T 细胞设计都必须采用标准化、稳健的方案进行严格表征。本综述介绍一种小鼠CAR-T 细胞制备方案,并详细说明评估其裂解能力的方法,包括实时阻抗检测和常规终点细胞毒性检测。
Chimeric Antigen Receptor T-cell (CAR-T) based immunotherapy represents a ground-breaking advancement in the treatment of certain haematological malignancies, such as acute lymphoblastic leukemia (ALL) and multiple myeloma (MM), often leading to remarkable remission rates. Despite these successes, many patients relapse within the first-year post-treatment, highlighting a critical limitation of these therapies.
Furthermore, translating the success of CAR-T therapies to solid tumors has been challenging, with limited clinical efficacy, highlighting the need for innovative designs and strategies to achieve durable responses. There is strong scientific interest in enhancing CAR-T antitumor efficacy in solid tumors. Current research efforts are focused primarily on two main strategies: first, the development of enhanced fourth- and fifth-generation CAR-T cells through genetic modification; and second, the optimization of the manufacturing protocols to improve cell quality and functionality.
All these novel CAR-T cell designs must be rigorously characterized using standardized and robust protocols. In this review, we describe a protocol for generating murine CAR-T cells and, in detail, the methodology to assess their lytic capacity-both through a real-time impedance-based assay and a conventional endpoint cytotoxicity assay.
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