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.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:CAR-T cells and cancer nanovaccines: Comparative insights into advances and translational challenges.
免疫疗法已改变癌症治疗的格局,推动了整个生物技术领域的持续创新与投资。
免疫疗法改变了癌症治疗格局,推动生物技术行业持续创新和投资。在众多重要进展中,CAR-T 细胞疗法与癌症纳米疫苗已成为强有力且可能互补的策略,有望影响临床实践。临床前和临床研究均显示,这两种方法各有优势,也各有局限。本综述对这两类平台进行比较分析,考察其作用机制、技术特征,以及近期为提高疗效而取得的进展。文章特别关注持续限制其更广泛临床转化的关键挑战,包括实体瘤相关障碍、安全性、规模化能力和免疫应答的持久性。我们进一步将这些讨论整合为转化医学决策思路,以支持根据具体情境进行患者分层、治疗选择和联合免疫疗法的合理设计。通过整合这些视角,本文更新了对 CAR-T 细胞疗法和纳米疫苗的概述,强调二者的共同点与差异,并提出指导未来研究和转化开发的策略方向。
Immunotherapy has transformed the landscape of cancer treatment, driving sustained innovation and investment across the biotechnology sector. Among the most prominent advances, CAR-T cell therapy and cancer nanovaccines have emerged as powerful and potentially complementary strategies with the capacity to reshape clinical practice. Despite their promise, each approach presents distinct strengths and limitations, as demonstrated across preclinical and clinical studies. This review provides a comparative analysis of these platforms, examining their underlying mechanisms, technological features, and recent developments aimed at improving therapeutic efficacy. Particular attention is given to the key challenges that continue to limit their broader clinical translation, including barriers associated with solid tumors, safety, scalability, and the durability of immune responses. We further integrate these discussions into translational clinical decision-making insights intended to support context-dependent patient stratification, therapeutic selection, and rational design of combination immunotherapies. By integrating these perspectives, this work offers an updated overview of CAR-T cell therapies and nanovaccines, emphasizing convergent and divergent features while outlining strategic directions to guide future research and translational development.
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