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:Recent advances in cancer immunotherapy.
个体癌症特异性、对血液系统恶性肿瘤的高效性以及适度的副作用,已将免疫疗法提升至许多癌症的一线治疗地位。
个体癌症特异性、对血液系统恶性肿瘤的高效性以及适度的副作用,已将免疫方法提升至许多癌症的一线治疗。单克隆抗肿瘤细胞毒性抗体、与抗肿瘤抗体结合的化疗药物、抑制免疫检查点抑制剂(ICIs)的抗体以及嵌合抗原受体(CAR)-T细胞,已成为癌症免疫治疗中确立的有效组成部分。最近研究表明,在接受ICI治疗前接受健康供体包裹粪便微生物群的患者具有更好的反应和更少的严重副作用。新设计的CAR-T或-NK细胞构建体,带有不同的第二CAR、能够引发针对ICIs的抑制性抗体产生或诱导IL-12或IL-15生成的能力,是最近的主要进展,对实体瘤的免疫治疗尤其有价值。基因编辑的B细胞/浆细胞克隆能够在体内产生肿瘤细胞细胞毒性抗体,以及用肿瘤特异性新抗原或编码肿瘤特异性新抗原的mRNA联合针对ICIs的抑制性抗体进行疫苗接种,也是近期有意义的进展。
Individual cancer specificity, high level of effectiveness for hematopoietic malignancies and modest side-effects have elevated immune approaches to first-line treatment of many cancers. Monoclonal anti-tumor cytotoxic antibodies, chemotherapeutic agents bound to anti-tumor antibodies, antibodies that suppress immune checkpoint inhibitors (ICIs) and chimeric antigen receptor (CAR)-T cells are established useful elements of cancer immunotherapy. It has recently been shown that patients receiving healthy donor encapsulated fecal microbiota before ICI therapy have better responses and fewer severe side-effects. Newly designed constructs of CAR-T or -NK cells with a different second CAR, a capacity to evoke production of suppressive antibodies to ICIs or to induce IL-12 or IL-15 generation are recent major advances especially valuable for immunotherapy of solid tumors. Gene-edited B cell/plasma cell clones that produce tumor cell cytotoxic antibodies in vivo and vaccination with tumor-specific neoantigens or mRNAs encoding tumor-specific neoantigens in combination with suppressive antibodies to ICIs are also meaningful recent advances.
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