Ashique Sumel, Debnath Biplab, Ramzan Mohhammad, Taj Tahreen, Islam Anas, Chaudhary Priya, Kaushik Monika, Garg Ashish, Sen Aniruddha, Raveendran Ciniraj, Hussain Md Sadique, Anbiaee Robab, Taghizadeh-Hesary Farzad
Department of Pharmaceutical Technology, Bharat Technology, Uluberia, West Bengal 711316, India; School of Pharmaceutical Sciences, Lovely Professional University, Phagwara, Punjab 144411, India.
Department of Pharmaceutical Technology, Bharat Technology, Uluberia, West Bengal 711316, India.
Biomed Pharmacother. 2025 Aug;189:118308. doi: 10.1016/j.biopha.2025.118308. Epub 2025 Jul 7.
Cancer remains a leading cause of mortality worldwide. Extensive research is underway to discover appropriate therapeutic interventions for this disease. One such emerging approach involves the development of targeted drugs, including p53-targeted drugs and chimeric antigen receptor (CAR) T cell therapy. These therapies are the most effective for the treatment of cancer. Both are advantageous when used alone in the treatment of cancer; however, they have certain limitations. Therefore, it has been discovered that the combination of CAR T cells along p53-targeted therapy is beneficial against tumor cells. This review describes an in-depth analysis of both p53-targeted therapies and CAR T cell therapy, scrutinizing their mechanisms and clinical applications, and exploring the synergistic potential of both p53-Targeted Therapies and CAR T cell therapies. Furthermore, to provide a comprehensive consideration of their combined efficacy, a review discusses how the intermingling of CAR T cell therapy and p53-targeted medicines can lead to therapeutic conclusions. Furthermore, it also provides ample evidence on the development, challenges and forthcoming guidelines for both CAR T cell therapies and p53-targeted therapies, making it a vital resource for researchers. Furthermore, the molecular basis for how p53 controls the development and process of numerous components of the tumor microenvironment is described, along with the difficulties that combination therapy can provide, such as tumor heterogeneity, immune evasion, and potential side effects. This review offers valuable information on the potential synergies between p53-targeted medicines and CAR T cell remedies to produce more effective and enduring cancer management by closely examining preclinical and clinical research.
癌症仍然是全球主要的死亡原因。目前正在进行广泛的研究,以发现针对这种疾病的合适治疗干预措施。一种新兴的方法涉及开发靶向药物,包括针对p53的靶向药物和嵌合抗原受体(CAR)T细胞疗法。这些疗法是治疗癌症最有效的方法。单独使用时,它们在癌症治疗中都具有优势;然而,它们也有一定的局限性。因此,已经发现CAR T细胞与p53靶向疗法联合使用对肿瘤细胞有益。本综述深入分析了p53靶向疗法和CAR T细胞疗法,仔细研究了它们的机制和临床应用,并探索了p53靶向疗法和CAR T细胞疗法的协同潜力。此外,为了全面考虑它们的联合疗效,综述讨论了CAR T细胞疗法和p53靶向药物的结合如何能得出治疗结论。此外,它还提供了关于CAR T细胞疗法和p53靶向疗法的发展、挑战和未来指南的充分证据,使其成为研究人员的重要资源。此外,还描述了p53如何控制肿瘤微环境众多成分的发育和进程的分子基础,以及联合疗法可能带来的困难,如肿瘤异质性、免疫逃逸和潜在的副作用。本综述通过仔细研究临床前和临床研究,提供了关于p53靶向药物和CAR T细胞疗法之间潜在协同作用的有价值信息,以实现更有效和持久的癌症管理。