Advance in chimeric antigen receptor T therapy in autoimmune diseases.

IF 5.9 2区 医学 Q1 IMMUNOLOGY Frontiers in Immunology Pub Date : 2025-03-04 eCollection Date: 2025-01-01 DOI:10.3389/fimmu.2025.1533254
Xiaolan Ji, Yunfan Sun, Yuyang Xie, Jianling Gao, Ji Zhang
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Abstract

Autoimmune diseases are a group of diseases in which the body's immune system misrecognizes its own antigens resulting in an abnormal immune response, which can lead to pathological damage to or abnormal functioning of its own tissues. Current treatments are mainly hormones and broad-spectrum immunosuppressants, but these can lead to a decline in the patient's immunity. Chimeric antigen receptor T (CAR-T) Cell therapy has emerged, and now the structure of CAR has changed from first generation to fourth generation of CAR. The significant achievement of CAR-T therapy to B-cell leukemia has also inspired the treatment of autoimmune diseases, and by investigating the mechanisms of different autoimmune diseases, different designs of CAR-T can be used to specifically treat autoimmune diseases. In this review, we will discuss the therapeutic strategies of CAR-T cells in different autoimmune diseases and the limitations of the treatment.

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嵌合抗原受体T治疗自身免疫性疾病的研究进展。
自身免疫性疾病是指机体免疫系统对自身抗原的错误识别导致免疫反应异常,从而导致自身组织病理损伤或功能异常的一类疾病。目前的治疗主要是激素和广谱免疫抑制剂,但这些会导致患者免疫力下降。嵌合抗原受体T (CAR-T)细胞疗法已经出现,现在CAR的结构已经从第一代CAR转变为第四代CAR。CAR-T治疗b细胞白血病的重大成就也启发了自身免疫性疾病的治疗,通过研究不同自身免疫性疾病的机制,可以使用不同的CAR-T设计来特异性治疗自身免疫性疾病。在这篇综述中,我们将讨论CAR-T细胞在不同自身免疫性疾病中的治疗策略以及治疗的局限性。
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来源期刊
CiteScore
9.80
自引率
11.00%
发文量
7153
审稿时长
14 weeks
期刊介绍: Frontiers in Immunology is a leading journal in its field, publishing rigorously peer-reviewed research across basic, translational and clinical immunology. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Immunology is the official Journal of the International Union of Immunological Societies (IUIS). Encompassing the entire field of Immunology, this journal welcomes papers that investigate basic mechanisms of immune system development and function, with a particular emphasis given to the description of the clinical and immunological phenotype of human immune disorders, and on the definition of their molecular basis.
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