Department of Tumor Biological Treatment, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu Province, China.
Department of Tumor Biological Treatment, The Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu Province, China.
Cancer Lett. 2020 Mar 1;472:175-180. doi: 10.1016/j.canlet.2019.11.033. Epub 2019 Nov 29.
Recently, the use of chimeric antigen receptor-modified T (CAR-T)-cells in the treatment of hematological tumors has been successful and has become a clinical hotspot in tumor immunotherapy. However, their wide application is limited by inherent risks such as graft-versus-host disease (GvHD) and the amount of time it takes to produce CAR-T cells. Natural killer (NK) cells can be xenografted and have the potential to become off-the-shelf products, making CAR-NK cell therapies universal products. These products may be safer than CAR-T cell therapy. Considering that the fundamental researche is still in its infancy, this review focuses on clinical achievements and new strategies for improving the safety and efficacy of CAR-NK cell therapy, as well as the corresponding challenges.
最近,嵌合抗原受体修饰 T 细胞(CAR-T)在血液系统肿瘤的治疗中取得了成功,成为肿瘤免疫治疗的临床热点。然而,由于移植物抗宿主病(GvHD)等固有风险以及生产 CAR-T 细胞所需的时间,其广泛应用受到限制。自然杀伤(NK)细胞可以异种移植,并有成为现货产品的潜力,使 CAR-NK 细胞疗法成为通用产品。这些产品可能比 CAR-T 细胞疗法更安全。鉴于基础研究仍处于起步阶段,本综述重点介绍了提高 CAR-NK 细胞治疗安全性和有效性的临床成果和新策略,以及相应的挑战。