Zong Jiepu, Li Yan-Ruide
Department of Microbiology, Immunology & Molecular Genetics, University of California, Los Angeles, CA 90095, USA.
Bioengineering (Basel). 2025 Jan 13;12(1):60. doi: 10.3390/bioengineering12010060.
Chimeric Antigen Receptor (CAR)-engineered T (CAR-T) cell therapy represents a highly promising modality within the domain of cancer treatment. CAR-T cell therapy has demonstrated notable efficacy in the treatment of hematological malignancies, solid tumors, and various infectious diseases. However, current CAR-T cell therapy is autologous, which presents challenges related to high costs, time-consuming manufacturing processes, and the necessity for careful patient selection. A potential resolution to this restriction could be found by synergizing CAR-T technology with the induced pluripotent stem cell (iPSC) technology. iPSC technology has the inherent capability to furnish an inexhaustible reservoir of T cell resources. Experimental evidence has demonstrated the successful generation of various human CAR-T cells using iPSC technology, showcasing high yield, purity, robustness, and promising tumor-killing efficacy. Importantly, this technology enables the production of clinical-grade CAR-T cells, significantly reducing manufacturing costs and time, and facilitating their use as allogeneic cell therapies to treat multiple cancer patients simultaneously. In this review, we aim to elucidate essential facets of current cancer therapy, delineate its utility, enumerate its advantages and drawbacks, and offer an in-depth evaluation of a novel and pragmatic approach to cancer treatment.
嵌合抗原受体(CAR)工程化T(CAR-T)细胞疗法是癌症治疗领域中一种极具前景的治疗方式。CAR-T细胞疗法在治疗血液系统恶性肿瘤、实体瘤及多种传染病方面已显示出显著疗效。然而,目前的CAR-T细胞疗法是自体的,这带来了成本高昂、制造过程耗时以及需要仔细筛选患者等挑战。将CAR-T技术与诱导多能干细胞(iPSC)技术协同,可能找到解决这一限制的潜在方法。iPSC技术具有提供无穷无尽T细胞资源库的内在能力。实验证据表明,利用iPSC技术已成功产生各种人类CAR-T细胞,展现出高产率、高纯度、强稳健性及有前景的肿瘤杀伤疗效。重要的是,该技术能够生产临床级CAR-T细胞,显著降低制造成本和时间,并便于将其用作同种异体细胞疗法同时治疗多名癌症患者。在本综述中,我们旨在阐明当前癌症治疗的基本方面,描述其效用,列举其优缺点,并对一种新颖且实用的癌症治疗方法进行深入评估。