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Editorial: Mitochondrial dysfunction affects mechano-energetic coupling in heart failure 社论:线粒体功能障碍影响心力衰竭的机械能耦合
Pub Date : 2024-07-03 DOI: 10.3389/fmmed.2024.1433102
Jan Dudek, Julia Ritterhoff
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引用次数: 0
Tafazzin deficiency causes substantial remodeling in the lipidome of a mouse model of Barth Syndrome cardiomyopathy. Tafazzin 缺乏会导致巴氏综合征心肌病小鼠模型脂质体发生重大重塑。
Pub Date : 2024-04-29 eCollection Date: 2024-01-01 DOI: 10.3389/fmmed.2024.1389456
Malte Hachmann, Güntas Gülcan, Ranjithkumar Rajendran, Marcus Höring, Gerhard Liebisch, Akash Bachhuka, Michael Kohlhaas, Christoph Maack, Süleyman Ergün, Jan Dudek, Srikanth Karnati

Barth Syndrome (BTHS) is a rare X-linked disease, characterized clinically by cardiomyopathy, skeletal myopathy, neutropenia, and growth retardation. BTHS is caused by mutations in the phospholipid acyltransferase tafazzin (Gene: TAFAZZIN, TAZ). Tafazzin catalyzes the final step in the remodeling of cardiolipin (CL), a glycerophospholipid located in the inner mitochondrial membrane. As the phospholipid composition strongly determines membrane properties, correct biosynthesis of CL and other membrane lipids is essential for mitochondrial function. Mitochondria provide 95% of the energy demand in the heart, particularly due to their role in fatty acid oxidation. Alterations in lipid homeostasis in BTHS have an impact on mitochondrial membrane proteins and thereby contribute to cardiomyopathy. We analyzed a transgenic TAFAZZIN-knockdown (TAZ-KD) BTHS mouse model and determined the distribution of 193 individual lipid species in TAZ-KD and WT hearts at 10 and 50 weeks of age, using electrospray ionization tandem mass spectrometry (ESI-MS/MS). Our results revealed significant lipid composition differences between the TAZ-KD and WT groups, indicating genotype-dependent alterations in most analyzed lipid species. Significant changes in the myocardial lipidome were identified in both young animals without cardiomyopathy and older animals with heart failure. Notable alterations were found in phosphatidylcholine (PC), phosphatidylethanolamine (PE), lysophosphatidylethanolamine (LPE), lysophosphatidylcholine (LPC) and plasmalogen species. PC species with 2-4 double bonds were significantly increased, while polyunsaturated PC species showed a significant decrease in TAZ-KD mice. Furthermore, Linoleic acid (LA, 18:2) containing PC and PE species, as well as arachidonic acid (AA, 20:4) containing PE 38:4 species are increased in TAZ-KD. We found higher levels of AA containing LPE and PE-based plasmalogens (PE P-). Furthermore, we are the first to show significant changes in sphingomyelin (SM) and ceramide (Cer) lipid species Very long-chained SM species are accumulating in TAZ-KD hearts, whereas long-chained Cer and several hexosyl ceramides (HexCer) species accumulate only in 50-week-old TAZ-KD hearts These findings offer potential avenues for the diagnosis and treatment of BTHS, presenting new possibilities for therapeutic approaches.

巴特综合征(BTHS)是一种罕见的 X 连锁疾病,临床特征为心肌病、骨骼肌病、中性粒细胞减少和生长迟缓。BTHS是由磷脂酰基转移酶Tafazzin(基因:TAFAZZIN,TAZ)突变引起的。Tafazzin催化心磷脂(CL)重塑的最后一步,心磷脂是一种位于线粒体内膜的甘油磷脂。磷脂的组成在很大程度上决定了膜的特性,因此正确地生物合成 CL 和其他膜脂对线粒体功能至关重要。线粒体提供了心脏能量需求的 95%,特别是由于其在脂肪酸氧化中的作用。BTHS 中脂质平衡的改变会影响线粒体膜蛋白,从而导致心肌病。我们分析了转基因 TAFAZZIN 敲除(TAZ-KD)BTHS 小鼠模型,并使用电喷雾离子化串联质谱法(ESI-MS/MS)测定了 10 周龄和 50 周龄 TAZ-KD 和 WT 心脏中 193 种不同脂质的分布。我们的研究结果表明,TAZ-KD 组和 WT 组之间存在明显的脂质组成差异,这表明大多数分析的脂质种类都发生了基因型依赖性改变。在没有心肌病的幼年动物和患有心力衰竭的老年动物中都发现了心肌脂质体的显著变化。磷脂酰胆碱(PC)、磷脂酰乙醇胺(PE)、溶血磷脂酰乙醇胺(LPE)、溶血磷脂酰胆碱(LPC)和质原种类发生了显著变化。在 TAZ-KD 小鼠体内,含有 2-4 个双键的 PC 种类明显增加,而多不饱和 PC 种类则明显减少。此外,含 PC 和 PE 种类的亚油酸(LA,18:2)以及含 PE 38:4 种类的花生四烯酸(AA,20:4)在 TAZ-KD 中也有所增加。我们发现含 AA 的 LPE 和基于 PE 的质粒(PE P-)水平更高。此外,我们首次发现了鞘磷脂(SM)和神经酰胺(Cer)脂质种类的显著变化。非常长链的SM种类在TAZ-KD心脏中积累,而长链的Cer和几种己基神经酰胺(HexCer)种类仅在50周大的TAZ-KD心脏中积累。
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引用次数: 0
Editorial: Celebrating the 200th mendel’s anniversary: gene-targeted diagnostics and therapies for cancer 社论:庆祝孟德尔诞辰 200 周年:癌症基因靶向诊断和疗法
Pub Date : 2024-02-27 DOI: 10.3389/fmmed.2024.1366963
Noah Federman, Erlinda M. Gordon, S. Chawla, Frederick L. Hall
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引用次数: 0
Current advances in experimental and computational approaches to enhance CAR T cell manufacturing protocols and improve clinical efficacy 增强 CAR T 细胞制造方案和提高临床疗效的实验和计算方法的最新进展
Pub Date : 2024-02-01 DOI: 10.3389/fmmed.2024.1310002
Alfredo Colina, Viren Shah, Ravi K. Shah, Tanya Kozlik, R. K. Dash, Scott S. Terhune, Anthony E. Zamora
Since the FDA’s approval of chimeric antigen receptor (CAR) T cells in 2017, significant improvements have been made in the design of chimeric antigen receptor constructs and in the manufacturing of CAR T cell therapies resulting in increased in vivo CAR T cell persistence and improved clinical outcome in certain hematological malignancies. Despite the remarkable clinical response seen in some patients, challenges remain in achieving durable long-term tumor-free survival, reducing therapy associated malignancies and toxicities, and expanding on the types of cancers that can be treated with this therapeutic modality. Careful analysis of the biological factors demarcating efficacious from suboptimal CAR T cell responses will be of paramount importance to address these shortcomings. With the ever-expanding toolbox of experimental approaches, single-cell technologies, and computational resources, there is renowned interest in discovering new ways to streamline the development and validation of new CAR T cell products. Better and more accurate prognostic and predictive models can be developed to help guide and inform clinical decision making by incorporating these approaches into translational and clinical workflows. In this review, we provide a brief overview of recent advancements in CAR T cell manufacturing and describe the strategies used to selectively expand specific phenotypic subsets. Additionally, we review experimental approaches to assess CAR T cell functionality and summarize current in silico methods which have the potential to improve CAR T cell manufacturing and predict clinical outcomes.
自2017年美国食品药品管理局批准嵌合抗原受体(CAR)T细胞以来,嵌合抗原受体构建体的设计和CAR T细胞疗法的制造都有了重大改进,从而提高了体内CAR T细胞的持久性,改善了某些血液恶性肿瘤的临床疗效。尽管在一些患者身上看到了明显的临床反应,但在实现长期持久无瘤生存、减少治疗相关恶性肿瘤和毒性以及扩大这种治疗模式可治疗的癌症类型等方面仍然存在挑战。要解决这些不足,最重要的是要认真分析区分有效和次优 CAR T 细胞反应的生物因素。随着实验方法、单细胞技术和计算资源等工具箱的不断扩大,人们对发现新方法来简化 CAR T 细胞新产品的开发和验证工作产生了浓厚的兴趣。通过将这些方法纳入转化和临床工作流程,可以开发出更好、更准确的预后和预测模型,为临床决策提供指导和信息。在本综述中,我们简要概述了 CAR T 细胞制造的最新进展,并介绍了用于选择性扩增特定表型亚群的策略。此外,我们还回顾了评估 CAR T 细胞功能的实验方法,并总结了目前有可能改善 CAR T 细胞制造和预测临床结果的硅学方法。
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引用次数: 0
Combined analysis of host IFN-γ, IL-2 and IP-10 as potential LTBI biomarkers in ESAT-6/CFP-10 stimulated blood 将宿主 IFN-γ、IL-2 和 IP-10 作为 ESAT-6/CFP-10 刺激血液中潜在的 LTBI 生物标志物进行综合分析
Pub Date : 2024-01-26 DOI: 10.3389/fmmed.2024.1345510
Antony Rapulana, Thabo Mpotje, O. Baiyegunhi, Hlumani Ndlovu, Theresa K. Smit, Timothy D. McHugh, Mohlopheni J Marakalala
Background: Accurate diagnosis of latent tuberculosis infected (LTBI) individuals is important in identifying individuals at risk of developing active tuberculosis. Current diagnosis of LTBI routinely relies on the detection and measurement of immune responses using the Tuberculin Skin Test (TST) and interferon gamma release assays (IGRAs). However, IGRA, which detects Mycobacterium tuberculosis specific IFN-γ, is associated with frequent indeterminate results, particularly in immunosuppressed patients. There is a need to identify more sensitive LTBI point of care diagnostic biomarkers. The aim of this study was to assess the validity of early secreted antigen target 6 kDa (ESAT-6) and culture filtrate protein 10 (CFP-10) stimulated plasma to identify additional cytokines and chemokines as potential biomarkers of LTBI.Method: The levels of 27 cytokines and chemokines were measured by Bio-Plex Pro cytokine, chemokine and growth factor assay in ESAT-6 and CFP-10 co-stimulated plasma from 20 LTBI participants with positive IGRA (Quantiferon TB Gold plus) and 20 healthy controls with negative IGRA. Traditional ELISA was used to validate the abundance of the best performing markers in 70 LTBI and 72 healthy participants. All participants were HIV negative.Results: We found that Interleukin 1 receptor antagonist (IL1ra) (p = 0.0056), Interleukin 2 (IL-2) (p < 0.0001), Interleukin 13 (IL-13) (p < 0.0001), Interferon gamma-induced protein 10 (IP-10) (p < 0.0001), and Macrophage inflammatory protein-1 beta (MIP1b) (p = 0.0010) were significantly higher in stimulated plasma of LTBI compared to healthy individuals. Stimulated plasma IL-2 (cutoff 100 pg/mL), IP-10 (cutoff 300 pg/mL) and IL-13 (5 pg/mL) showed potential in diagnosing LTBI with PPV = 100%, 0.89.4%, and 80.9% and NPV = 86.9%, 0.85.7%, and 84.2%, respectively.Conclusion: Our data shows that co-stimulating whole blood with ESAT-6 and CFP-10 may help distinguish LTBI from healthy individuals. We also identified IL-2 and IP-10 as potential biomarkers that could be added to the currently used IFN-γ release assays in detection of LTBI.
背景:对潜伏肺结核感染者(LTBI)的准确诊断对于识别有患活动性肺结核风险的人非常重要。目前,对潜伏肺结核感染者的诊断通常依赖于使用结核菌素皮试(TST)和γ干扰素释放测定(IGRA)来检测和测量免疫反应。然而,检测结核分枝杆菌特异性 IFN-γ 的 IGRA 经常出现不确定的结果,尤其是在免疫抑制患者中。因此有必要找出更灵敏的 LTBI 护理点诊断生物标志物。本研究旨在评估早期分泌抗原靶 6 kDa(ESAT-6)和培养滤液蛋白 10(CFP-10)刺激血浆的有效性,以确定更多的细胞因子和趋化因子作为 LTBI 的潜在生物标志物:用Bio-Plex Pro细胞因子、趋化因子和生长因子测定法测定了20名IGRA(Quantiferon TB Gold plus)阳性的LTBI患者和20名IGRA阴性的健康对照者的ESAT-6和CFP-10共同刺激血浆中27种细胞因子和趋化因子的水平。使用传统的 ELISA 方法验证了 70 名长期慢性阻塞性肺病患者和 72 名健康对照者中表现最好的标记物的丰度。所有参与者的艾滋病毒检测结果均为阴性:结果:我们发现,与健康人相比,白细胞介素 1 受体拮抗剂(IL1ra)(p = 0.0056)、白细胞介素 2(IL-2)(p < 0.0001)、白细胞介素 13(IL-13)(p < 0.0001)、干扰素γ诱导蛋白 10(IP-10)(p < 0.0001)和巨噬细胞炎症蛋白-1 beta(MIP1b)(p = 0.0010)在受刺激的 LTBI 血浆中的含量明显更高。刺激血浆 IL-2(临界值 100 pg/mL)、IP-10(临界值 300 pg/mL)和 IL-13(5 pg/mL)显示出诊断 LTBI 的潜力,PPV=100%、0.89.4% 和 80.9%,NPV=86.9%、0.85.7% 和 84.2%:我们的数据表明,用 ESAT-6 和 CFP-10 联合刺激全血可帮助区分 LTBI 和健康人。我们还发现,IL-2 和 IP-10 是潜在的生物标记物,可添加到目前使用的 IFN-γ 释放测定中,用于检测 LTBI。
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引用次数: 0
Loss of PPARα function promotes epigenetic dysregulation of lipid homeostasis driving ferroptosis and pyroptosis lipotoxicity in metabolic dysfunction associated Steatotic liver disease (MASLD) PPARα 功能缺失会促进脂质稳态的表观遗传失调,驱动代谢功能障碍相关性脂肪性肝病(MASLD)中的铁中毒和热中毒脂毒性
Pub Date : 2024-01-08 DOI: 10.3389/fmmed.2023.1283170
Claudia Theys, Tineke Vanderhaeghen, E. Van Dijck, Cedric Peleman, Anne Scheepers, Joe Ibrahim, Ligia Mateiu, S. Timmermans, Tom Vanden Berghe, Sven M. Francque, Wim Van Hul, Claude Libert, Wim Vanden Berghe
Metabolic Dysfunction Associated Steatotic Liver Disease (MASLD) is a growing epidemic with an estimated prevalence of 20%–30% in Europe and the most common cause of chronic liver disease worldwide. The onset and progression of MASLD are orchestrated by an interplay of the metabolic environment with genetic and epigenetic factors. Emerging evidence suggests altered DNA methylation pattern as a major determinant of MASLD pathogenesis coinciding with progressive DNA hypermethylation and gene silencing of the liver-specific nuclear receptor PPARα, a key regulator of lipid metabolism. To investigate how PPARα loss of function contributes to epigenetic dysregulation in MASLD pathology, we studied DNA methylation changes in liver biopsies of WT and hepatocyte-specific PPARα KO mice, following a 6-week CDAHFD (choline-deficient, L-amino acid-defined, high-fat diet) or chow diet. Interestingly, genetic loss of PPARα function in hepatocyte-specific KO mice could be phenocopied by a 6-week CDAHFD diet in WT mice which promotes epigenetic silencing of PPARα function via DNA hypermethylation, similar to MASLD pathology. Remarkably, genetic and lipid diet-induced loss of PPARα function triggers compensatory activation of multiple lipid sensing transcription factors and epigenetic writer-eraser-reader proteins, which promotes the epigenetic transition from lipid metabolic stress towards ferroptosis and pyroptosis lipid hepatoxicity pathways associated with advanced MASLD. In conclusion, we show that PPARα function is essential to support lipid homeostasis and to suppress the epigenetic progression of ferroptosis-pyroptosis lipid damage associated pathways towards MASLD fibrosis.
代谢功能障碍相关性脂肪性肝病(MASLD)是一种日益流行的疾病,估计在欧洲的发病率为 20%-30%,也是全球最常见的慢性肝病病因。代谢相关性脂肪肝的发病和进展是由代谢环境与遗传和表观遗传因素相互作用造成的。新的证据表明,DNA甲基化模式的改变是MASLD发病机制的主要决定因素,这与肝脏特异性核受体PPARα(脂质代谢的关键调节因子)的渐进性DNA高甲基化和基因沉默相吻合。为了研究 PPARα 功能丧失如何导致 MASLD 病理学中的表观遗传失调,我们研究了 WT 小鼠和肝细胞特异性 PPARα KO 小鼠在 6 周 CDAHFD(胆碱缺乏、L-氨基酸定义的高脂饮食)或清淡饮食后肝活检组织中 DNA 甲基化的变化。有趣的是,肝细胞特异性 KO 小鼠 PPARα 功能的遗传性丧失可以通过 WT 小鼠 6 周 CDAHFD 饮食来表征,这种饮食会通过 DNA 高甲基化促进 PPARα 功能的表观遗传学沉默,这与 MASLD 的病理过程类似。值得注意的是,遗传和脂质饮食诱导的 PPARα 功能缺失会引发多种脂质感应转录因子和表观遗传写入器-读取器蛋白的代偿性激活,从而促进与晚期 MASLD 相关的表观遗传学转变,从脂质代谢应激转向铁变态反应和热变态反应脂质肝毒性途径。总之,我们的研究表明,PPARα的功能对于支持脂质平衡和抑制表观遗传学上的铁变态-热变态脂质损伤相关途径向MASLD纤维化的进展至关重要。
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引用次数: 0
Editorial: The role of glial cells in neurodegeneration 社论:神经胶质细胞在神经退化中的作用
Pub Date : 2024-01-04 DOI: 10.3389/fmmed.2023.1337286
Piera Pasinelli, Kathrin Meyer, L. Ferraiuolo, Robert A. Culibrk, Rita Sattler
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引用次数: 0
Spatial adjustment of bioenergetics, a possible determinant of contractile adaptation and development of contractile failure 生物能的空间调整--收缩适应和收缩衰竭发展的可能决定因素
Pub Date : 2023-12-06 DOI: 10.3389/fmmed.2023.1305960
Marten Szibor, Marie Mühlon, Torsten Doenst, Jaakko L. O. Pohjoismäki
Cardiomyocytes depend on mitochondrial oxidative phosphorylation (OXPHOS) for energy metabolism, which is facilitated by the mitochondrial electron transfer system (ETS). In a series of thermogenic redox reactions, electrons are shuttled through the ETS to oxygen as the final electron acceptor. This electron transfer is coupled to proton translocation across the inner mitochondrial membrane, which itself is the main driving force for ATP production. Oxygen availability is thus a prerequisite for ATP production and consequently contractility. Notably, cardiomyocytes are exceptionally large cells and densely packed with contractile structures, which constrains intracellular oxygen distribution. Moreover, oxygen must pass through layers of actively respiring mitochondria to reach the ones located in the innermost contractile compartment. Indeed, uneven oxygen distribution was observed in cardiomyocytes, suggesting that local ATP supply may also vary according to oxygen availability. Here, we discuss how spatial adjustment of bioenergetics to intracellular oxygen fluctuations may underlie cardiac contractile adaptation and how this adaptation may pose a risk for the development of contractile failure.
心肌细胞依靠线粒体氧化磷酸化(OXPHOS)进行能量代谢,这是由线粒体电子传递系统(ETS)促进的。在一系列热源氧化还原反应中,电子通过ETS被传送到氧作为最终的电子受体。这种电子转移与穿过线粒体内膜的质子易位相耦合,而质子易位本身就是ATP产生的主要驱动力。因此,氧的可用性是ATP产生和收缩性的先决条件。值得注意的是,心肌细胞是非常大的细胞,密集地挤满了收缩结构,这限制了细胞内氧气的分布。此外,氧气必须穿过活跃呼吸的线粒体层,才能到达位于最内层可收缩室的线粒体。事实上,在心肌细胞中观察到不均匀的氧分布,表明局部ATP供应也可能根据氧的可用性而变化。在这里,我们讨论了生物能量对细胞内氧波动的空间调节如何可能是心脏收缩适应的基础,以及这种适应如何可能对收缩衰竭的发展构成风险。
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引用次数: 0
Editorial: Myocardium regeneration and cardioprotection 社论:心肌再生与心脏保护
Pub Date : 2023-10-09 DOI: 10.3389/fmmed.2023.1293183
Martina Iengo, Ester Topa, A. Cuomo, Maria Cristina Luise, Francesco Fiore, Marika Rizza, Mattia Miccio, Elena Di Sarro, Giuseppe Ciaccio, Chiara Di Lorenzo, Valentina Mercurio, Sang-Bing Ong, S. Zacchigna, C. Tocchetti
{"title":"Editorial: Myocardium regeneration and cardioprotection","authors":"Martina Iengo, Ester Topa, A. Cuomo, Maria Cristina Luise, Francesco Fiore, Marika Rizza, Mattia Miccio, Elena Di Sarro, Giuseppe Ciaccio, Chiara Di Lorenzo, Valentina Mercurio, Sang-Bing Ong, S. Zacchigna, C. Tocchetti","doi":"10.3389/fmmed.2023.1293183","DOIUrl":"https://doi.org/10.3389/fmmed.2023.1293183","url":null,"abstract":"","PeriodicalId":73090,"journal":{"name":"Frontiers in molecular medicine","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139321409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Elaborating the potential of Artficial Intelligence in automated CAR-T cell manufacturing 阐述了人工智能在自动CAR-T细胞制造中的潜力
Pub Date : 2023-09-21 DOI: 10.3389/fmmed.2023.1250508
Niklas Bäckel, Simon Hort, Tamás Kis, David F. Nettleton, Joseph R. Egan, John J. L. Jacobs, Dennis Grunert, Robert H. Schmitt
This paper discusses the challenges of producing CAR-T cells for cancer treatment and the potential for Artificial Intelligence (AI) for its improvement. CAR-T cell therapy was approved in 2018 as the first Advanced Therapy Medicinal Product (ATMP) for treating acute leukemia and lymphoma. ATMPs are cell- and gene-based therapies that show great promise for treating various cancers and hereditary diseases. While some new ATMPs have been approved, ongoing clinical trials are expected to lead to the approval of many more. However, the production of CAR-T cells presents a significant challenge due to the high costs associated with the manufacturing process, making the therapy very expensive (approx. $400,000). Furthermore, autologous CAR-T therapy is limited to a make-to-order approach, which makes scaling economical production difficult. First attempts are being made to automate this multi-step manufacturing process, which will not only directly reduce the high manufacturing costs but will also enable comprehensive data collection. AI technologies have the ability to analyze this data and convert it into knowledge and insights. In order to exploit these opportunities, this paper analyses the data potential in the automated CAR-T production process and creates a mapping to the capabilities of AI applications. The paper explores the possible use of AI in analyzing the data generated during the automated process and its capabilities to further improve the efficiency and cost-effectiveness of CAR-T cell production.
本文讨论了生产用于癌症治疗的CAR-T细胞的挑战,以及人工智能(AI)对其改进的潜力。CAR-T细胞疗法于2018年被批准为首个用于治疗急性白血病和淋巴瘤的先进治疗药物(ATMP)。atmp是一种基于细胞和基因的疗法,在治疗各种癌症和遗传性疾病方面显示出巨大的希望。虽然一些新的atmp已经获得批准,但正在进行的临床试验预计将导致更多的atmp获得批准。然而,由于与制造过程相关的高成本,CAR-T细胞的生产提出了一个重大挑战,使得治疗非常昂贵。400000美元)。此外,自体CAR-T疗法仅限于订制方法,这使得规模化经济生产变得困难。目前正在首次尝试将这一多步骤制造过程自动化,这不仅可以直接降低高昂的制造成本,还可以实现全面的数据收集。人工智能技术有能力分析这些数据,并将其转化为知识和见解。为了利用这些机会,本文分析了自动化CAR-T生产过程中的数据潜力,并创建了人工智能应用程序功能的映射。本文探讨了人工智能在分析自动化过程中产生的数据方面的可能用途,以及它进一步提高CAR-T细胞生产效率和成本效益的能力。
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引用次数: 2
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Frontiers in molecular medicine
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