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超越传统疗法:探索 CAR-T 细胞疗法根除癌症干细胞。

Beyond Conventional Treatments: Exploring CAR-T Cell Therapy for Cancer Stem Cell Eradication.

机构信息

Faculty of Pharmacy, Fayoum University, Fayoum, Egypt.

Zoology Department, Faculty of Science, Alexandria University, Alexandria, Egypt.

出版信息

Stem Cell Rev Rep. 2024 Nov;20(8):2001-2015. doi: 10.1007/s12015-024-10786-4. Epub 2024 Sep 23.

Abstract

BACKGROUND

For decades cancer remained the center of attention in the scientific community as its survival rates are low. Researchers from all around the world wanted to know the core of the problem as to what initiates cancer in a patient and helps with its progression. Many postulations came to light, but Cancer Stem Cells (CSC) was the most appealing and convincing.

MAIN BODY

In this review, we shed light on a potential solution to the problem by reviewing CAR-T cells (Chimeric antigen receptor T cells). These specialized T cells are designed to detect specific antigens on cancer cells. We analyse the steps of their formation from the collection of T cells from the patient's bloodstream and modifying it to exhibit specific CAR structures on their surfaces, to reinjecting them back and evaluating their efficacy. We thoroughly investigate the structure of the CAR design with improvements across different generations. The focus extends to the unique properties of CSCs as in how targeting specific markers on them can enhance the precision of cancer therapy.

CONCLUSION

Despite the successes, the review discusses the existing limitations and toxicities associated with CAR-derived therapies, highlighting the ongoing need for research and refinement. Looking ahead, we explore proposed strategies aimed at optimizing CAR-T cell therapy to mitigate adverse effects for improved cancer treatments.

摘要

背景

几十年来,由于癌症患者的存活率较低,癌症一直是科学界关注的焦点。世界各地的研究人员都想知道是什么引发了患者的癌症并促使其恶化,从而找到问题的核心。提出了许多假设,但癌症干细胞(CSC)是最吸引人且最有说服力的一个。

主体

在这篇综述中,我们通过回顾嵌合抗原受体 T 细胞(CAR-T 细胞)来探讨解决这个问题的潜在方法。这些经过专门设计的 T 细胞旨在检测癌细胞上的特定抗原。我们分析了从患者血液中采集 T 细胞,对其进行修饰以使其表面表达特定 CAR 结构,然后将其重新注入体内并评估其疗效的过程。我们深入研究了 CAR 设计的结构,以及不同代际之间的改进。此外,还扩展到了 CSC 的独特特性,例如针对它们特定标志物的靶向治疗可以如何提高癌症治疗的精度。

结论

尽管取得了成功,但该综述讨论了与 CAR 衍生疗法相关的现有局限性和毒性,强调了持续需要研究和改进。展望未来,我们探讨了旨在优化 CAR-T 细胞疗法以减轻不良反应、提高癌症治疗效果的拟议策略。

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