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过继性细胞疗法的新兴前沿:工程创新、当前挑战与制造视角

英文原题:Emerging frontiers in adoptive cell therapies: engineering innovations, current challenges, and manufacturing perspectives.

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Emerging frontiers in adoptive cell therapies: engineering innovations, current challenges, and manufacturing perspectives.

PubMed 2026/09/08(内容时间) Mol Biol Rep Q3 · IF 3.2(JCR 2025)

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中文摘要

通过过继性细胞疗法(ACT)进行的免疫治疗已成为一种有效的癌症治疗方法,该方法使用基因修饰的免疫细胞或在体外培养的免疫细胞。ACT方法使用CAR-T(CAR-T)细胞,已在血液癌症中取得证实的结果,而TIL(肿瘤浸润淋巴细胞)(TILs)和T细胞受体(TCR)工程化T细胞则是对抗实体瘤和细胞内抗原的有效方法。当前医学领域使用基于自然杀伤(NK)细胞的疗法,因为它们具有天然的细胞杀伤能力、较低的移植物抗宿主病发生率,以及通过同种异体医学流程生产现成可用治疗产品的能力。ACT的临床应用一直面临多重障碍,这些障碍源于抗原多样性、免疫系统抵抗、治疗相关不良反应以及生产困难。研究人员正在推进多种解决方案,以通过开发多靶点受体设计和基因编辑技术、增强细胞持久性的策略以及可扩展的生产平台来解决当前挑战。下一代ACT平台将通过联合治疗、生物标志物驱动的患者选择以及先进生产技术的结合,取得更好的治疗结果。生物学研究的新兴领域表明,过继性细胞疗法可以发展成为精准癌症免疫治疗的关键组成部分。在本综述中,我们讨论了ACT的原理、益处和挑战,并重点关注克服这些障碍的潜在解决方案。

展开英文摘要原文

Immunotherapy through adoptive cell therapy (ACT) has become an effective cancer treatment method, using genetically modified immune cells or immune cells grown outside the body. The ACT methods use chimeric antigen receptor T (CAR-T) cells, with proven results for blood cancers, while tumor-infiltrating lymphocytes (TILs) and T-cell receptor (TCR)-engineered T cells serve as effective methods to fight against solid tumors and intracellular antigens. The current medical field uses natural killer (NK) cell-based therapies because of their natural ability to destroy cells, their lower incidence of graft-versus-host disease, and their capability to generate readily available therapeutic products through allogeneic medical procedures.

The clinical utilization of ACTs has been facing multiple obstacles, stemming from antigen diversity, immune system resistance, treatment-related adverse effects, and difficulties in production. The researchers are advancing multiple solutions to resolve current challenges through developing multi-targeted receptor designs and gene-editing technologies, enhanced cell persistence strategies, and scalable manufacturing platforms.

The next-generation ACT platforms will achieve improved therapeutic results through a mix of combination therapies, biomarker-driven patient selection, and advanced manufacturing technologies. Emerging areas of biological research demonstrate how adoptive cell therapies can develop into key components of precision cancer immunotherapy. In this review, we discussed the principles, benefits, and challenges of ACT, with a focus on potential solutions to overcome these obstacles.

论文信息

作者
Hosseini Nezhad MS、Zeighami Gol S、Gharavi P、Javid H
第一作者单位
Department of Medical Laboratory Sciences, Varastegan Institute for Medical Sciences, Mashhad, Iran.Iran
通讯作者单位
Department of Medical Laboratory Sciences, Varastegan Institute for Medical Sciences, Mashhad, Iran. Javidh@varastegan.ac.ir.Iran
文献类型
综述
期刊
Molecular biology reports2026 Sep 8
原文标识
PubMed 42709257 · DOI 10.1007/s11033-026-12720-y