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癌症免疫治疗诱导自身免疫的抗炎策略

英文原题:Anti-inflammatory approaches in cancer immunotherapy-induced autoimmunity.

查看英文原题

Anti-inflammatory approaches in cancer immunotherapy-induced autoimmunity.

PubMed 2026/08/08(内容时间) EULAR Rheumatol Open

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中文摘要

癌症免疫治疗,包括异基因造血细胞移植、CAR-T(CAR-T)细胞输注、双特异性抗体和免疫检查点抑制剂(ICIs),已经彻底改变了癌症的治疗。然而,治疗耐药和免疫介导的副作用降低了总体成功率。近期在2026年ATT会议上报告了这两个领域的新进展。使用转化生长因子(TGF)-激活激酶-1(TAK1)-NF-B-p38丝裂原活化蛋白激酶(MAPK)通路抑制治疗免疫效应细胞相关神经毒性综合征(ICANS)在临床前模型中被证明有效。TAK1抑制减少了小胶质细胞活化,并改善了CAR19 T细胞输注后的神经认知功能。本综述讨论了ICANS、移植物抗宿主病(GVHD)和ICI介导的副作用领域的新进展。

展开英文摘要原文

Cancer immunotherapy, including allogeneic haematopoietic cell transplantation, infusion of chimeric antigen receptor T (CAR-T) cells, bispecific antibodies, and immune checkpoint inhibitors (ICIs), has revolutionised the treatment of cancer.

However, therapy resistance and immune-mediated side effects reduce the overall success. Recent developments in these 2 areas were reported at the 2026 ATT conference. Treatment of immune effector cell-associated neurotoxicity syndrome (ICANS) using transforming growth factor (TGF )-activated kinase-1 (TAK1)-NF- B-p38 mitogen-activated protein kinase (MAPK) pathway inhibition was shown to be effective in preclinical models.

TAK1 inhibition reduced microglia activation and improved neurocognitive function after CAR19 T-cell transfer. This review discusses new developments in the fields of ICANS, graft-vs-host disease (GVHD), and ICI-mediated side effects.

论文信息

作者
Zeiser R
单位
Department of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.Germany
文献类型
综述
期刊
EULAR rheumatology open2026 Sep
原文标识
PubMed 42620644 · DOI 10.1016/j.ero.2026.100223