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:Immunotherapy in Asia: current insights and prospects in Southeast Asia and Malaysia.
Immunotherapy in Asia: current insights and prospects in Southeast Asia and Malaysia.
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癌症免疫治疗已经改变了全球肿瘤学格局,为曾经被认为无法治疗的多种恶性肿瘤提供了持久缓解。在亚洲和东南亚这些癌症负担不断上升的地区,马来西亚等国家正在逐步整合免疫治疗手段,包括免疫检查点抑制剂和 CAR-T 细胞疗法。区域进展得益于研究基础设施投资、临床试验参与扩大以及跨境监管合作。
然而,重大挑战依然存在。多样的遗传和流行病学特征使治疗的可推广性复杂化,而医疗可及性差异、有限的生物标志物验证以及高成本限制了广泛实施,尤其是在低收入和中等收入环境中。在包括马来西亚在内的东南亚,这些挑战因医疗可及性的城乡差异和财务限制而进一步加剧。
然而,生物标志物指导的精准免疫治疗、人工智能赋能的治疗个性化、扩展的远程医疗服务以及增强的可及性框架等新兴机遇提供了有前景的前进路径。本综述重点介绍亚洲和东南亚癌症免疫治疗的当前格局、持续挑战和未来前景,特别关注马来西亚在这一不断演变领域中日渐增长的作用。跨区域合作、监管协调和个性化治疗策略对于该地区公平获得癌症治疗至关重要。通过在更广泛的以亚洲为重点的免疫治疗框架内综合来自东南亚的碎片化和代表性不足的证据,本综述旨在提供一份综合参考,以指导未来的研究优先排序、加强区域政策制定,并支持设计更具包容性和可扩展性的免疫治疗实施策略。
Cancer immunotherapy has transformed the global oncology landscape, offering durable responses across malignancies once considered untreatable. In Asia and Southeast Asia, regions facing a rising cancer burden, countries such as Malaysia are progressively integrating immunotherapeutic approaches, including immune checkpoint inhibitors and CAR-T cell therapies. Regional progress is supported by investments in research infrastructure, expanding clinical trial participation, and cross-border regulatory collaboration.
However, significant challenges persist. Diverse genetic and epidemiological profiles complicate treatment generalizability, while disparities in healthcare access, limited biomarker validation, and high costs restrict widespread implementation, particularly in low- and middle-income settings. In Southeast Asia, including Malaysia, these challenges are intensified by urban-rural disparities in healthcare access and financial limitations.
However, emerging opportunities such as biomarker-informed precision immunotherapy, artificial intelligence-enabled treatment personalization, expanded telemedicine services, and enhanced access frameworks offer promising pathways forward. This review highlights the current landscape, ongoing challenges, and future prospects of cancer immunotherapy in Asia and Southeast Asia, with a particular focus on Malaysia's growing role in this evolving field.
Cross-regional cooperation, regulatory harmonization, and personalized treatment strategies are crucial for equitable access to cancer therapies across this region. By synthesizing fragmented and underrepresented evidence from Southeast Asia within a broader Asia-focused immunotherapy framework, this review aims to provide a consolidated reference that can guide future research prioritization, strengthen regional policy development, and support the design of more inclusive and scalable immunotherapy implementation strategies.
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