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探索嵌合抗原受体巨噬细胞疗法的潜力。

Exploring the potential of CAR-macrophage therapy.

作者信息

Shi Yongyu, Li Xia, Dong Yanlei, Yuan Hong, Wang Yingyue, Yang Ruoxuan

机构信息

Department of Immunology and Shandong Key Laboratory of Infection and Immunity, School of Basic Medical Sciences, Cheeloo College of Medicine, Shandong University, China.

Department of Internal Medicine, Jinan No. 1 People's Hospital, China.

出版信息

Life Sci. 2025 Jan 15;361:123300. doi: 10.1016/j.lfs.2024.123300. Epub 2024 Dec 5.

Abstract

Chimeric antigen receptor T cell (CAR-T) cell therapy has achieved significant success in treating hematologic malignancies, but its efficacy in solid tumor treatment is relatively limited. Therefore, researchers are exploring other genetically modified immune cells as potential treatment strategies to address the challenges in solid tumor therapy. Chimeric antigen receptor macrophage (CAR-M) involves the genetic engineering of macrophages to express chimeric antigen receptors, enabling them to recognize and attack tumor cells. In contrast to CAR-T cells, CAR-M cells offer distinct advantages such as enhanced infiltration and survival capabilities, along with a diverse array of anti-tumor mechanisms, making them a promising immunotherapy approach that may yield better results in solid tumor treatment. This article provides an overview of the research advancements in CAR-M-mediated tumor immunotherapy, encompassing topics such as the design and transduction of CAR, cell sources, anti-tumor mechanisms and clinical applications. The future research direction in this field will involve leveraging innovative biological technologies to augment the anti-tumor efficacy of CAR-M, understand the underlying mechanisms, and enhance the safety and efficacy of CAR-M therapy.

摘要

嵌合抗原受体T细胞(CAR-T)疗法在治疗血液系统恶性肿瘤方面取得了显著成功,但其在实体瘤治疗中的疗效相对有限。因此,研究人员正在探索其他基因改造的免疫细胞作为潜在的治疗策略,以应对实体瘤治疗中的挑战。嵌合抗原受体巨噬细胞(CAR-M)涉及对巨噬细胞进行基因工程改造,使其表达嵌合抗原受体,从而能够识别并攻击肿瘤细胞。与CAR-T细胞相比,CAR-M细胞具有明显优势,如更强的浸润和存活能力,以及多种抗肿瘤机制,使其成为一种有前景的免疫治疗方法,有望在实体瘤治疗中取得更好的效果。本文概述了CAR-M介导的肿瘤免疫治疗的研究进展,涵盖CAR的设计与转导、细胞来源、抗肿瘤机制及临床应用等主题。该领域未来的研究方向将包括利用创新生物技术增强CAR-M的抗肿瘤疗效、理解其潜在机制,并提高CAR-M疗法的安全性和有效性。

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