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超越恶性肿瘤:CAR-T 细胞治疗自身免疫性疾病的临床进展

英文原题:Beyond malignancies: Clinical advancements of CAR T-cell in the treatment of autoimmune diseases.

查看英文原题

Beyond malignancies: Clinical advancements of CAR T-cell in the treatment of autoimmune diseases.

PubMed 2026/05/31(内容时间) Intractable Rare Dis Res Q2 · IF 2.1(JCR 2025)

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中文摘要

靶向B细胞的嵌合抗原受体(CAR)T细胞疗法已成为血液系统恶性肿瘤治疗的突破,并在自身免疫性疾病中展现出良好潜力。在自身免疫病中,选择性靶向B细胞活化和自身抗体产生是一种创新治疗方法,但由于组织内B细胞清除不完全以及难以确定理想靶抗原,许多患者的临床应答仍不理想。过去4年间,自体或异基因CAR-T 细胞疗法在自身免疫性疾病中显示出显著疗效,可快速、持久地清除B细胞,并实现完全临床及血清学缓解。本综述考察B细胞靶向CAR-T 细胞疗法的当前格局、自身免疫性疾病中的治疗应用、正在开展的转化研究及未来发展。

展开英文摘要原文

Chimeric antigen receptor (CAR) T-cell therapy targeting B cells has emerged as a breakthrough treatment for hematological malignancies and shows promising potential in autoimmune diseases. While selective targeting of B-cell activation and autoantibody production represents an innovative therapeutic approach in autoimmune conditions, clinical responses remain suboptimal in many patients due to incomplete B-cell depletion in tissues and limitations in identifying ideal target antigens.

Over the past four years, autologous or allogeneic CAR T-cell therapy has demonstrated remarkable efficacy in autoimmune diseases, achieving rapid and sustained B-cell depletion alongside complete clinical and serological remission. This review examines the current landscape of B cell-targeting CAR T-cell therapy, its therapeutic applications in autoimmune disorders, ongoing translational research, and future developments.

论文信息

作者
Fang X、Wei R、Zhu W、Hu Y、Liang H
单位
Department of Neurology, Beilun District People's Hospital (Beilun Branch, The First Affiliated Hospital, Zhejiang University School of Medicine), Ningbo, China.China
文献类型
综述
期刊
Intractable & rare diseases research2026 May 31
原文标识
PubMed 42221047 · DOI 10.5582/irdr.2025.01057