CAR-T cell therapy: a game-changer in cancer treatment and beyond

Kumar Utkarsh, Namita Srivastava, Sachin Kumar, Azhar Khan, Gunjan Dagar, Mukesh Kumar, Mayank Singh, Shabirul Haque
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Abstract

In recent years, cancer has become one of the primary causes of mortality, approximately 10 million deaths worldwide each year. The most advanced, chimeric antigen receptor (CAR) T cell immunotherapy has turned out as a promising treatment for cancer. CAR-T cell therapy involves the genetic modification of T cells obtained from the patient's blood, and infusion back to the patients. CAR-T cell immunotherapy has led to a significant improvement in the remission rates of hematological cancers. CAR-T cell therapy presently limited to hematological cancers, there are ongoing efforts to develop additional CAR constructs such as bispecific CAR, tandem CAR, inhibitory CAR, combined antigens, CRISPR gene-editing, and nanoparticle delivery. With these advancements, CAR-T cell therapy holds promise concerning potential to improve upon traditional cancer treatments such as chemotherapy and radiation while reducing associated toxicities. This review covers recent advances and advantages of CAR-T cell immunotherapy.

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CAR-T 细胞疗法:改变癌症治疗及其他领域的游戏规则
近年来,癌症已成为导致死亡的主要原因之一,全球每年约有 1 000 万人死于癌症。最先进的嵌合抗原受体(CAR)T 细胞免疫疗法已成为治疗癌症的有效方法。CAR-T 细胞疗法包括对从患者血液中提取的 T 细胞进行基因改造,然后输回患者体内。CAR-T 细胞免疫疗法大大提高了血液肿瘤的缓解率。目前,CAR-T 细胞疗法仅限于血液癌症,但人们正在努力开发更多的 CAR 构建,如双特异性 CAR、串联 CAR、抑制性 CAR、联合抗原、CRISPR 基因编辑和纳米颗粒递送。随着这些技术的进步,CAR-T 细胞疗法有望改善化疗和放疗等传统癌症治疗方法,同时减少相关毒性。本综述将介绍 CAR-T 细胞免疫疗法的最新进展和优势。
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