Precision Targeting and Genetically Modified T Cells for Targeting Cancer Cells

Dr Ammar A. Razzak Mahmood, Sudhakar Srinivasan, Challaraj Emmanuel E. S
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Abstract

In this review cancer treatment, despite notable progress, challenges persist globally. Traditional methods like surgery, chemotherapy, and radiotherapy, while effective, often compromise patients' overall quality of life due to side effects. Immunotherapeutic strategies, especially Chimeric Antigen Receptor T cells, show promise by leveraging the immune system to target tumors independently of certain immune escape mechanisms. However, CAR-T cells' specificity to surface antigens limits their applicability. Precise cancer management demands ongoing research to refine and broaden these therapies. Employing CAR or T-cell receptor therapies, genetic engineering enhances T-cell antigenic specificity, optimizing cancer immunotherapy precision. CARs, synthetic receptors engineered for tumor antigen recognition, represent a groundbreaking approach, intertwining immunotherapy, gene therapy, and cancer therapy. The human immune system's ability to discern self from non-self-entities forms the basis of immunotherapy, fostering innovative modalities that selectively target cancer cells. CAR-T therapy, with FDA approval for leukemia and lymphoma, holds transformative potential but faces safety and efficacy challenges. Advances, including mitigating cytotoxicity and enhancing therapeutic efficacy, show promise. Utilizing genetic alteration, CARs have shown efficacy in the treatment of hematologic malignancies, particularly CD19 CARs in B cell blood cancers. Current study is investigating the potential uses of CAR-T cell treatment in patients with lymphoma and myeloma.
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精准靶向和转基因 T 细胞用于靶向癌细胞
回顾癌症治疗,尽管取得了显著进展,但全球范围内的挑战依然存在。手术、化疗和放疗等传统方法虽然有效,但往往因副作用而影响患者的整体生活质量。免疫治疗策略,尤其是嵌合抗原受体 T 细胞,通过利用免疫系统,在不受某些免疫逃逸机制影响的情况下靶向肿瘤,显示了其前景。然而,CAR-T 细胞对表面抗原的特异性限制了其适用性。要精确治疗癌症,就需要不断进行研究,以完善和拓宽这些疗法。利用 CAR 或 T 细胞受体疗法,基因工程增强了 T 细胞的抗原特异性,从而优化了癌症免疫疗法的精确性。CAR 是为识别肿瘤抗原而设计的合成受体,是一种突破性方法,将免疫疗法、基因疗法和癌症疗法结合在一起。人类免疫系统辨别自我与非自我实体的能力是免疫疗法的基础,它促进了选择性靶向癌细胞的创新模式。CAR-T 疗法已获得美国食品及药物管理局批准用于治疗白血病和淋巴瘤,具有变革潜力,但在安全性和有效性方面面临挑战。包括减轻细胞毒性和提高疗效在内的各种进展表明,CAR-T疗法大有可为。利用基因改变,CAR 在治疗血液系统恶性肿瘤方面显示出疗效,尤其是 CD19 CAR 在 B 细胞血癌方面的疗效。目前的研究正在调查 CAR-T 细胞治疗淋巴瘤和骨髓瘤患者的潜在用途。
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