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为实体瘤中 T 细胞受体工程 T 细胞疗法注入新活力:拓展精准治疗普适性的增强策略

英文原题:Breathing new life into T-cell receptor-engineered T-cell therapy in solid tumors: enhancing strategies to expand the universality of precision therapy.

PubMed 2026/06/19(内容时间) Exp Hematol Oncol Q1 · IF 17.5(JCR 2025)

研究概要

过继性 T 细胞转移疗法(ACT)显著推动了肿瘤免疫治疗的进展。

中文摘要

过继T细胞转移疗法(ACT)显著推动了肿瘤免疫治疗发展。在多种靶向实体瘤的策略中,T细胞受体工程化T细胞(TCR-T)疗法已成为极具前景的方法,可适用于更广泛患者群体;在某些实体恶性肿瘤中,其肿瘤杀伤活性优于CAR-T(CAR-T)及肿瘤浸润T细胞/淋巴细胞(TIL)疗法。然而,TCR-T临床疗效仍受限制。本文介绍TCR-T治疗实体瘤面临的局限和挑战,总结克服这些局限及推动其临床应用的近期工作,并分析其当前临床应用状态及实体瘤患者中的疗效。我们预期,依托高亲和力TCR、丰富多样的靶抗原、协同多模式治疗策略及高效体外生产流程,TCR-T精准治疗将使更广泛患者群体获益,并展现新的临床应用潜力。

展开英文摘要原文

Adoptive T-cell transfer therapy (ACT) has significantly propelled the advancement of tumor immunotherapy. Among various strategies targeting solid tumors, the T-cell receptor (TCR)-engineered T-cell (TCR-T cell) therapy has emerged as a highly promising approach, exhibiting an expanded therapeutic window across diverse patient populations and superior tumoricidal activity in certain solid malignancies compared with chimeric antigen receptor T cell (CAR-T) and tumor-infiltrating T cells/lymphocyte (TIL) therapies. However, its clinical efficacy remains constrained. In this paper, we introduce the limitations and challenges faced by TCR-T cells in solid tumor treatment, and summarize recent efforts overcoming these limitations and translating TCR-T cell therapies into clinical application. Furthermore, their current status and effectiveness in clinical solid tumor patients were analyzed. We expect that the precision therapies of TCR-T cells, with the support of high-affinity TCRs and a diverse array of target antigens, multimodal synergistic therapy strategies and efficient in vitro production processes, will benefit a wider patient population, thus revealing new clinical application potential.

论文信息

作者
Li Y、Zhang X、Chen Y、Lin J、Liang T、Bai X
第一作者单位
Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310003, Zhejiang, China.China
通讯作者单位
Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310003, Zhejiang, China. shirleybai@zju.edu.cn.China
文献类型
综述
期刊
Experimental hematology & oncology2026 Jun 19
原文标识
PubMed 42321956 · DOI 10.1186/s40164-026-00793-1