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克服 CAR T 细胞治疗中的肿瘤复发。

Overcome tumor relapse in CAR T cell therapy.

机构信息

The Second Clinical Medical School of Lanzhou University, The Second Hospital of Lanzhou University, Lanzhou, Gansu Province, China.

Gansu Provincial Hospital, Lanzhou, Gansu, China.

出版信息

Clin Transl Oncol. 2022 Oct;24(10):1833-1843. doi: 10.1007/s12094-022-02847-2. Epub 2022 Jun 9.

Abstract

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.

摘要

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。

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