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:Standardized Xenograft Models for Preclinical Cancer Research.
Standardized Xenograft Models for Preclinical Cancer Research.
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异种移植模型是临床前肿瘤学的主要体内平台,也是细胞培养与临床研究之间最成熟的实验纽带。从20世纪初的致癌物暴露兔模型到当前一代人源化患者来源异种移植(PDX)系统,这些平台一直随着转化型癌症研究的需求而演进。本综述批判性地审视了当前使用的主要异种移植平台的生物学原理、方法学标准和转化应用。细胞系来源异种移植(CDX)模型仍然是临床前疗效测试中使用最广泛、最具成本效益的模式,其可重复性、可扩展性和可及性使其在肿瘤药物开发流程中持续发挥作用数十年。PDX模型已成为共同临床试验设计、预测性生物标志物发现和个性化肿瘤学应用的首选平台,能够在连续传代中保留供体肿瘤的基因组景观、瘤内异质性和组织学结构。本文综述了PDX系统的植入生物学,包括免疫缺陷宿主品系选择、植入部位、肿瘤来源和传代生物学,以及将平台扩展至免疫检查点抑制剂、双特异性T细胞衔接器和CAR-T(CAR-T)细胞治疗评估的人源化和自体人源化配置。本综述将临床前到临床的转化作为免疫学差异、肿瘤微环境再现不完全和标准化的函数加以探讨。正式框架,包括PDX模型最小信息(PDX-MI)标准和人类化小鼠标准化最小信息(MISHUM),与全球生物样本库基础设施和新兴的AI驱动转化建模方法一并被审视。
Xenograft models are the principal in vivo platform of preclinical oncology and the most established experimental link between cell culture and clinical investigation. From the carcinogen-exposed rabbit models of the early twentieth century through the current generation of humanized patient-derived xenograft (PDX) systems, these platforms have evolved in response to the demands of translational cancer research. This review critically examines the biological principles, methodological standards, and translational applications of the principal xenograft platforms in current use. Cell line-derived xenograft (CDX) models remain the most widely used and most cost-effective modality for preclinical efficacy testing, offering the reproducibility, scalability, and accessibility that have sustained their role across oncology drug development pipelines for decades.
PDX models have emerged as the preferred platform for co-clinical trial design, predictive biomarker discovery, and personalized oncology applications, preserving the genomic landscape, intratumor heterogeneity, and histological architecture of the donor tumor across serial passages. The engraftment biology of PDX systems, including immunodeficient host strain selection, implantation site, tumor source, and passage biology, is reviewed, together with humanized and autologous humanized configurations that extend the platform to immune checkpoint inhibitors, bispecific T-cell engagers, and chimeric antigen receptor T (CAR-T) cell therapy evaluation.
This review addresses preclinical-to-clinical translation as a function of immunological divergence, incomplete tumor microenvironment recapitulation, and standardization. Formal frameworks, including the PDX Model Minimal Information (PDX-MI) standard and the Minimal Information for Standardization of Humanized Mice (MISHUM), are examined alongside global biobank infrastructure and emerging AI-driven translational modeling approaches.
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