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Immunogenicity in CAR T cell immunotherapy CAR - T细胞免疫治疗的免疫原性
Pub Date : 2023-10-04 DOI: 10.17352/2455-8591.000038
Yu Emily
Currently, the most accessible forms of cancer treatment include surgery, chemotherapy, and radiation. However, these forms of treatment may damage or destroy healthy tissue as well as cancerous cells, resulting in side effects such as fatigue, hair loss, diarrhea, etc. Immunotherapy, an alternative form of cancer treatment, is a growing treatment method of interest that uses bodily substances made by the body or in a laboratory to boost the immune system’s activity against tumor cells. One type of immunotherapy is CAR T cell therapy, in which a patient’s T cells are genetically modified in a lab to express Chimeric Antigen Receptors (CARs) that help T cells identify and destroy their target. However, because CARs are constructed in the lab and currently consist of non-self components, genetically engineered CAR T cells have the potential to induce anti-CAR immune responses. The following paper will explore the causes of anti-CAR immunity, its possible solutions, and the potential implications of these discoveries.
目前,最容易获得的癌症治疗方式包括手术、化疗和放疗。然而,这些形式的治疗可能会损害或破坏健康组织以及癌细胞,导致副作用,如疲劳、脱发、腹泻等。免疫疗法是癌症治疗的另一种形式,是一种越来越受关注的治疗方法,它使用人体或实验室产生的物质来增强免疫系统对肿瘤细胞的活性。其中一种免疫疗法是CAR - T细胞疗法,在实验室中对患者的T细胞进行基因修饰,以表达嵌合抗原受体(CAR),帮助T细胞识别和摧毁它们的目标。然而,由于CAR - T细胞是在实验室中构建的,目前由非自身成分组成,基因工程CAR - T细胞有可能诱导抗CAR - T免疫反应。下面的文章将探讨抗car免疫的原因,其可能的解决方案,以及这些发现的潜在意义。
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引用次数: 0
The potential of mRNA vaccine in HCC treatment mRNA疫苗在HCC治疗中的潜力
Pub Date : 2023-07-11 DOI: 10.17352/2455-8591.000037
H. Rui
Neoantigen mRNA vaccines are a potential form of immunotherapy for Hepatocellular Carcinoma (HCC). These neoantigens can be targeted with personalized mRNA vaccines, which are designed to stimulate the patient’s immune system to recognize and destroy cancer cells. Neoantigen mRNA vaccines are developed using RNA sequences that are synthesized based on the genetic mutations found in HCC patients. These RNA sequences are formulated into a vaccine and administered to the patient, typically in combination with other cancer treatments for enhancing the anti-cancer effect. Several preclinical and clinical studies have shown promising results for neoantigen mRNA vaccines in HCC immunotherapy. Early results suggest that they may be a valuable addition to the treatment options available for HCC patients. However, more research is needed to determine the safety and efficacy of these vaccines.
新抗原mRNA疫苗是肝细胞癌(HCC)免疫治疗的一种潜在形式。这些新抗原可以被个性化的mRNA疫苗靶向,这种疫苗旨在刺激患者的免疫系统识别并摧毁癌细胞。新抗原mRNA疫苗是利用基于在HCC患者中发现的基因突变合成的RNA序列开发的。这些RNA序列被配制成疫苗,并给病人注射,通常与其他癌症治疗相结合,以增强抗癌效果。一些临床前和临床研究表明,新抗原mRNA疫苗在HCC免疫治疗中具有良好的效果。早期结果表明,它们可能是HCC患者可用的治疗选择的一个有价值的补充。然而,需要更多的研究来确定这些疫苗的安全性和有效性。
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引用次数: 0
Current understanding of the cardiotoxicity-related treatment of immune checkpoint inhibitors in breast cancer 目前对乳腺癌免疫检查点抑制剂心脏毒性相关治疗的了解
Pub Date : 2023-05-03 DOI: 10.17352/2455-8591.000036
Dai Jiajing
Immune Checkpoint Inhibitors (ICIs) as the most important and widely used currently, have changed the traditional approach to cancer treatment and significantly improved the prognosis of most patients with advanced malignancies. Breast cancer is the most dangerous threatening tumor to women’s health and life globally, ICIs have shed light on the treatment for refractory breast cancer subtypes, including Triple-Negative Breast Cancer (TNBC) and trastuzumab resistance of human epidermal growth factor receptor 2 positives (HER2+). However, immune-related adverse events (irAE) associated with ICIs bring many extra considerations. Among these, potential cardiotoxicity is rarely seen but with the highest fatality rate. In the present review, we introduced the ICIs approved for the treatment of breast cancer and brief guideline for clinical application. Then we briefly summarized ICIs-related cardiotoxicity in breast cancer and mechanism based on immunology and basic medical research. Furthermore, we make a brief summary of the diagnosis methods.
免疫检查点抑制剂(Immune Checkpoint Inhibitors, ICIs)作为目前最重要和应用最广泛的药物,改变了传统的癌症治疗方式,显著改善了大多数晚期恶性肿瘤患者的预后。乳腺癌是全球范围内对女性健康和生命威胁最大的肿瘤,ICIs为难治性乳腺癌亚型的治疗提供了新的线索,包括三阴性乳腺癌(TNBC)和人表皮生长因子受体2阳性(HER2+)的曲妥珠单抗耐药性。然而,与ici相关的免疫相关不良事件(irAE)带来了许多额外的考虑。其中,潜在的心脏毒性很少见到,但死亡率最高。在本文中,我们介绍了已被批准用于治疗乳腺癌的ICIs及其临床应用的简要指南。在此基础上,从免疫学和基础医学研究的角度对乳腺癌中icis相关的心脏毒性及其作用机制进行了综述。此外,我们还对诊断方法作了简要的总结。
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引用次数: 0
CNS-invasive aspergillosis following ibrutinib therapy 伊鲁替尼治疗后的中枢侵入性曲霉病
Pub Date : 2022-12-08 DOI: 10.17352/2455-8591.000035
Kurian Matthew, Vick Eric, Khanapara Dipen
Ibrutinib is Bruton’s tyrosine kinase inhibitor that now become the standard of care for the treatment of CLL (chronic lymphocytic leukemia) and other lymphoid cancers. With its increasing usage, oncologists must become more aware of their potential side effect profile. Ibrutinib is typically thought to be less immunosuppressive than standard immunotherapy; however, can still cause devastating side effects. We present a case of CNS-invasive aspergillosis in a patient with Waldenstrom’s macroglobulinemia being managed with ibrutinib. We hypothesize that treatment with ibrutinib can resemble those with X-gammaglobulinemia, thus putting our patient at risk of developing such an invasive fungal infection. Traditional risk factors for CNS-invasive aspergillosis include neutropenia, systemic glucocorticoid treatment, mastoidectomy, spinal anesthesia and paraspinal glucocorticoid injections. Oncologists need to weigh the risks and benefits of ibrutinib therapy in certain populations and more data in the future may suggest potentially adding empiric antifungal coverage with its usage.
伊鲁替尼是布鲁顿的酪氨酸激酶抑制剂,现在已成为治疗慢性淋巴细胞白血病和其他淋巴细胞癌的标准治疗药物。随着其使用的增加,肿瘤学家必须更加了解其潜在的副作用。伊鲁替尼通常被认为比标准免疫疗法具有更小的免疫抑制作用;然而,仍然会造成毁灭性的副作用。我们提出了一例中枢神经系统侵袭性曲霉病患者与瓦尔登斯特罗姆的大球蛋白血症正在伊鲁替尼管理。我们假设伊鲁替尼治疗可能与x - γ球蛋白血症相似,从而使我们的患者处于发生这种侵袭性真菌感染的风险中。cns侵袭性曲霉病的传统危险因素包括中性粒细胞减少、全身糖皮质激素治疗、乳突切除术、脊髓麻醉和棘旁糖皮质激素注射。肿瘤学家需要权衡伊鲁替尼治疗在特定人群中的风险和益处,未来可能会有更多的数据表明,在使用伊鲁替尼的同时,可能会增加经验性抗真菌覆盖。
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引用次数: 0
Supposition about absence of contact inhibition of cancer cells 关于癌细胞接触抑制缺失的假设
Pub Date : 2021-11-06 DOI: 10.17352/2455-8591.000034
G. Gogichadze, T. Gogichadze, E. Mchedlishvili
As is known, the superficial charge of most somatic cells is negative. Proceeding from this fact, somatic cells never interact. There is always some type of space (intercellular space) between them. Intercellular contacts are predominantly determined by two main factors: Van der Waals (positive taxis) and electrostatic (negative taxis) forces contributing to the formation of membrane electric potential. Presence of the intercellular space is a structural representation of the balance bet­ween these forces (contact inhibition).
众所周知,大多数体细胞的表面电荷是负的。从这个事实出发,体细胞从不相互作用。它们之间总是有某种类型的空间(细胞间空间)。细胞间接触主要由两个主要因素决定:范德华力(正趋向性)和静电力(负趋向性)有助于形成膜电位。细胞间空间的存在是这些力(接触抑制)之间平衡的结构表现。
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引用次数: 0
A case of denosumab-associated hyperparathyroidism: A differential diagnostic challenge denosumab相关性甲状旁腺功能亢进1例:鉴别诊断的挑战
Pub Date : 2021-10-08 DOI: 10.17352/2455-8591.000033
Taşkıran Emin, Şahin Sevnaz, Savaş Sumru, Saraç Zeliha Fulden, Akçiçek Selahattin Fehmi
Denosumab is a relatively new medicine that has become the second option in the treatment of biphosphonate-resistant or intolerant osteoporosis. Subcutaneous injection with 6-month intervals, approval of its usage in stage 3-4 CKD and not having gastrointestinal side effects are advantages of denosumab. However, it has some disadvantages like requiring monitoring serum levels of calcium and vitamin D before each injection.
Denosumab是一种相对较新的药物,已成为治疗双膦酸盐耐药或不耐受骨质疏松症的第二选择。皮下注射间隔6个月,批准用于3-4期CKD,无胃肠道副作用是denosumab的优点。然而,它也有一些缺点,比如在每次注射前需要监测血清钙和维生素D的水平。
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引用次数: 1
Lymphoepithelioma like Carcinoma of the Bladder – “A Case” Revisited 淋巴上皮瘤样膀胱癌——“一例”再谈
Pub Date : 2020-09-14 DOI: 10.17352/2455-8591.000025
Raleng Mezhuneituo, Aggarwal Gaurav, Gupta Sujoy
Lymphoepitheliomas are a type of undifferentiated carcinomas primarily described in the nasopharyngeal cavity.
淋巴上皮瘤是一种主要发生在鼻咽腔的未分化癌。
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引用次数: 0
Significance of Cancer Stem Cells in Anti-Cancer Therapies 肿瘤干细胞在抗癌治疗中的意义
Pub Date : 2016-12-31 DOI: 10.17352/2455-8591.000010
M. Botelho, H. Alves
Stem cells are the focus of cutting edge research interest because of their competence both to self-renew and proliferate, and to differentiate into a variety of tissues, offering enticing prospects of growing replacement organs in vitro, among other possible therapeutic implications. It is conceivable that cancer stem cells share a number of biological hallmarks that are different from their normal-tissue counterparts and that these might be taken advantage of for therapeutic benefits. In this review we discuss the significance of cancer stem cells in diagnosis and prognosis of cancer as well as in the development of new strategies for anti-cancer drug design.
干细胞是前沿研究的焦点,因为它们具有自我更新和增殖的能力,并分化成各种组织,在体外培养替代器官提供了诱人的前景,以及其他可能的治疗意义。可以想象,癌症干细胞共享许多不同于正常组织的生物学特征,这些特征可能被用于治疗益处。本文就肿瘤干细胞在肿瘤的诊断和预后以及抗癌药物设计新策略中的重要意义进行综述。
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引用次数: 7
Endothelial Progenitor Cells in Breast Cancer. 乳腺癌中的内皮祖细胞。
Pub Date : 2016-01-23 DOI: 10.17352/2455-8591.000007
M. Botelho, H. Alves
Recent evidences demonstrated the importance of bone marrow derived Endothelial Progenitor Cells (EPC), in the contribution to postnatal physiological and pathological neovascularization, and in tumor growth and angiogenesis. These cells are recruited undifferentiated, in response to systemic or chemoatractive signals, such as Vascular Endothelial Growth Factor (VEGF), they lodge in the growing or lesioned tissue and differentiate into endothelial cells in response to local stimuli and cell-cell interactions. The extent and the significance of the EPCs contribution for the growing of most tumors, including those of the breast, are still not fully defined. We analyzed the peripheral blood of breast cancer patients and found that they have circulating EPCs. We also found an association between expression of AC133+Kdr+ and VEGF plasma levels in these patients. Strategies to impair the mobilization and incorporation of EPCs into breast tumors may contribute to halt the growth of these tumors.
最近的证据表明,骨髓来源的内皮祖细胞(EPC)在出生后生理和病理新生血管的贡献,肿瘤生长和血管生成的重要性。这些细胞被招募为未分化的细胞,以响应系统或化学反应信号,如血管内皮生长因子(VEGF),它们进入生长或受损组织,并在局部刺激和细胞间相互作用下分化为内皮细胞。EPCs在大多数肿瘤(包括乳腺肿瘤)生长中的作用程度和意义仍未完全确定。我们分析了乳腺癌患者的外周血,发现他们有循环EPCs。我们还发现这些患者血浆中AC133+Kdr+表达与VEGF水平之间存在关联。削弱EPCs在乳腺肿瘤中的动员和结合的策略可能有助于阻止这些肿瘤的生长。
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引用次数: 11
Significance of Cancer Stem Cells in Anti-Cancer Therapies. 肿瘤干细胞在抗癌治疗中的意义。
Pub Date : 2016-01-01 Epub Date: 2016-12-31
Mónica Botelho, Helena Alves

Stem cells are the focus of cutting edge research interest because of their competence both to self-renew and proliferate, and to differentiate into a variety of tissues, offering enticing prospects of growing replacement organs in vitro, among other possible therapeutic implications. It is conceivable that cancer stem cells share a number of biological hallmarks that are different from their normal-tissue counterparts and that these might be taken advantage of for therapeutic benefits. In this review we discuss the significance of cancer stem cells in diagnosis and prognosis of cancer as well as in the development of new strategies for anti-cancer drug design.

干细胞是前沿研究的焦点,因为它们具有自我更新和增殖的能力,并分化成各种组织,在体外培养替代器官提供了诱人的前景,以及其他可能的治疗意义。可以想象,癌症干细胞共享许多不同于正常组织的生物学特征,这些特征可能被用于治疗益处。本文就肿瘤干细胞在肿瘤的诊断和预后以及抗癌药物设计新策略中的重要意义进行综述。
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引用次数: 0
期刊
International journal of immunotherapy and cancer research
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