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:Design of Receptor-Specific Anticancer Agents for Gallbladder Cancer: Integrating Immunomodulatory Strategies.
同时,讨论了现代免疫疗法(包括免疫检查点抑制剂、癌症疫苗以及 CAR-T 细胞等过继性细胞疗法)与靶向药物递送系统联合应用时的协同潜力。此外,新兴的 RNA 和基因疗法为调控肿瘤生物学和逆转治疗耐药提供了新途径。总体而言,将受体靶向纳米医学与免疫治疗策略相结合,可能为个性化治疗方案铺平道路,从而改善胆囊癌患者的治疗结局和生存。
胆囊癌(GBC)仍然是最具侵袭性的胆道恶性肿瘤之一,由于早期症状轻微,常于晚期才被诊断。本综述探讨受体介导的药物递送作为一种有前景的方法,以应对GBC晚期诊断、治疗选择有限和化疗耐药等挑战。
采用结构化文献综述方法,对胆囊癌(GBC)在受体靶向药物递送和免疫调节策略方面现有进展的证据进行了全面综合。
重点在于利用特定的癌细胞受体,如 EGFR、HER2、VEGFR、FGFR 和雌激素相关受体,作为纳米颗粒、脂质体和抗体-药物偶联物的靶点,以增强药物内化,同时减少脱靶毒性。
INTRODUCTION: Gallbladder Cancer (GBC) remains one of the most aggressive biliary tract malignancies, frequently diagnosed at an advanced stage due to its subtle early symptoms. This review examines receptor-mediated drug delivery as a promising approach to address the challenges of late diagnosis, limited treatment options, and chemoresistance in GBC. METHODS: A structured literature review methodology was used to produce a comprehensive synthesis of evidence on available advances in receptor-targeted drug delivery and immunomodulatory strategies for Gallbladder Cancer (GBC). RESULTS: Emphasis is placed on exploiting specific cancer cell receptors, such as EGFR, HER2, VEGFR, FGFR, and the estrogen-related receptor, as targets for nanoparticles, liposomes, and antibody-drug conjugates to enhance drug internalization while reducing off-target toxicity. DISCUSSION: In parallel, the role of modern immunotherapies, including immune checkpoint inhibitors, cancer vaccines, and adoptive cell therapies such as CAR-T cells, is discussed with respect to their synergistic potential when combined with targeted drug-delivery systems. Additionally, emerging RNA- and gene-based therapies provide new avenues to modulate tumor biology and reverse treatment resistance. CONCLUSION: Collectively, integrating receptor-targeted nanomedicine with immunotherapeutic strategies could pave the way for personalized treatment regimens that improve therapeutic outcomes and survival in patients with gallbladder cancer.
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