The Second Clinical Medical School of Lanzhou University, The Second Hospital of Lanzhou University, Lanzhou, Gansu Province, China.
Gansu Provincial Hospital, Lanzhou, Gansu, China.
Clin Transl Oncol. 2022 Oct;24(10):1833-1843. doi: 10.1007/s12094-022-02847-2. Epub 2022 Jun 9.
Chimeric antigen receptor (CAR) T cell therapy is a novel therapeutic approach that uses gene editing techniques and lentiviral transduction to engineer T cells so that they can effectively kill tumors. However, CAR T cell therapy still has some drawbacks: many patients who received CAR T cell therapy and achieve remission, still had tumor relapse and treatment resistance, which may be due to tumor immune escape and CAR T cell dysfunction. To overcome tumor relapse, more researches are being done to optimize CAR T cell therapy to make it more precise and personalized, including screening for more specific tumor antigens, developing novel CAR T cells, and combinatorial treatment approaches. In this review, we will discuss the mechanisms as well as the progress of research on overcoming plans.
嵌合抗原受体 (CAR) T 细胞疗法是一种利用基因编辑技术和慢病毒转导来工程化 T 细胞的新型治疗方法,使其能够有效地杀死肿瘤。然而,CAR T 细胞疗法仍然存在一些缺点:许多接受 CAR T 细胞疗法并获得缓解的患者仍然存在肿瘤复发和治疗耐药性,这可能是由于肿瘤免疫逃逸和 CAR T 细胞功能障碍所致。为了克服肿瘤复发,正在进行更多的研究来优化 CAR T 细胞疗法,使其更精确和个性化,包括筛选更特异的肿瘤抗原、开发新型 CAR T 细胞和联合治疗方法。在本文中,我们将讨论克服这些计划的机制和研究进展。