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近期关于嵌合抗原受体(CAR)修饰免疫细胞治疗实体瘤和血液恶性肿瘤的研究进展。

Recent findings on chimeric antigen receptor (CAR)-engineered immune cell therapy in solid tumors and hematological malignancies.

机构信息

Department of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Oral and Maxillofacial Radiology, School of Dentistry, Islamic Azad University,, Isfahan (Khorasgan) Branch, Isfahan, Iran.

出版信息

Stem Cell Res Ther. 2022 Sep 24;13(1):482. doi: 10.1186/s13287-022-03163-w.

Abstract

Advancements in adoptive cell therapy over the last four decades have revealed various new therapeutic strategies, such as chimeric antigen receptors (CARs), which are dedicated immune cells that are engineered and administered to eliminate cancer cells. In this context, CAR T-cells have shown significant promise in the treatment of hematological malignancies. However, many obstacles limit the efficacy of CAR T-cell therapy in both solid tumors and hematological malignancies. Consequently, CAR-NK and CAR-M cell therapies have recently emerged as novel therapeutic options for addressing the challenges associated with CAR T-cell therapies. Currently, many CAR immune cell trials are underway in various human malignancies around the world to improve antitumor activity and reduce the toxicity of CAR immune cell therapy. This review will describe the comprehensive literature of recent findings on CAR immune cell therapy in a wide range of human malignancies, as well as the challenges that have emerged in recent years.

摘要

在过去的四十年中,过继细胞疗法的进步揭示了各种新的治疗策略,例如嵌合抗原受体 (CAR),这是经过工程设计并用于消除癌细胞的专用免疫细胞。在这种情况下,CAR T 细胞在治疗血液系统恶性肿瘤方面显示出了巨大的潜力。然而,许多障碍限制了 CAR T 细胞疗法在实体瘤和血液系统恶性肿瘤中的疗效。因此,CAR-NK 和 CAR-M 细胞疗法最近已成为解决与 CAR T 细胞疗法相关的挑战的新型治疗选择。目前,全世界许多 CAR 免疫细胞试验正在各种人类恶性肿瘤中进行,以提高抗肿瘤活性并降低 CAR 免疫细胞疗法的毒性。本综述将描述近年来在广泛的人类恶性肿瘤中 CAR 免疫细胞治疗的综合文献,以及近年来出现的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b7f/9509604/3f6146b3d099/13287_2022_3163_Fig1_HTML.jpg

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