Frontiers in CAR-T cell therapy for autoimmune diseases.

IF 13.9 1区 医学 Q1 PHARMACOLOGY & PHARMACY Trends in pharmacological sciences Pub Date : 2024-09-01 Epub Date: 2024-08-14 DOI:10.1016/j.tips.2024.07.005
Yan-Ruide Li, Zibai Lyu, Yuning Chen, Ying Fang, Lili Yang
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Abstract

Chimeric antigen receptor (CAR)-engineered T (CAR-T) cell therapy has demonstrated significant success in treating cancers. The potential of CAR-T cells is now being explored in the context of autoimmune diseases. Recent clinical trials have shown sustained and profound elimination of autoreactive B cells by CAR-T cells, leading to promising autoimmune disease control with minimal safety concerns. These encouraging results have inspired further investigation into CAR-T cell applications for a broader range of autoimmune diseases and the development of advanced cell products with improved efficacy and safety. In this review, we discuss the mechanisms by which CAR-T cells target autoimmune conditions, summarize current preclinical models, and highlight ongoing clinical trials, including CAR-T therapy design, clinical outcomes, and challenges. Additionally, we discuss the limitations and future directions of CAR-T therapy in the treatment of autoimmune diseases.

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CAR-T 细胞疗法治疗自身免疫性疾病的前沿。
嵌合抗原受体(CAR)工程T(CAR-T)细胞疗法在治疗癌症方面取得了巨大成功。现在,人们正在探索 CAR-T 细胞在自身免疫性疾病方面的潜力。最近的临床试验表明,CAR-T 细胞能持续、深入地消除自体反应性 B 细胞,从而有望控制自身免疫性疾病,且安全性极低。这些令人鼓舞的结果激发了人们进一步研究 CAR-T 细胞在更广泛的自身免疫性疾病中的应用,并开发出具有更好疗效和安全性的先进细胞产品。在这篇综述中,我们将讨论 CAR-T 细胞针对自身免疫性疾病的机制,总结当前的临床前模型,并重点介绍正在进行的临床试验,包括 CAR-T 疗法的设计、临床结果和挑战。此外,我们还讨论了 CAR-T 疗法在治疗自身免疫性疾病方面的局限性和未来发展方向。
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来源期刊
CiteScore
23.90
自引率
0.70%
发文量
132
审稿时长
6-12 weeks
期刊介绍: Trends in Pharmacological Sciences (TIPS) is a monthly peer-reviewed reviews journal that focuses on a wide range of topics in pharmacology, pharmacy, pharmaceutics, and toxicology. Launched in 1979, TIPS publishes concise articles discussing the latest advancements in pharmacology and therapeutics research. The journal encourages submissions that align with its core themes while also being open to articles on the biopharma regulatory landscape, science policy and regulation, and bioethics. Each issue of TIPS provides a platform for experts to share their insights and perspectives on the most exciting developments in the field. Through rigorous peer review, the journal ensures the quality and reliability of published articles. Authors are invited to contribute articles that contribute to the understanding of pharmacology and its applications in various domains. Whether it's exploring innovative drug therapies or discussing the ethical considerations of pharmaceutical research, TIPS provides a valuable resource for researchers, practitioners, and policymakers in the pharmacological sciences.
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