研究嵌合抗原受体T细胞疗法和癌症免疫疗法的潜力(综述)。

IF 1.4 Q4 ONCOLOGY Molecular and clinical oncology Pub Date : 2023-10-12 eCollection Date: 2023-12-01 DOI:10.3892/mco.2023.2691
Rayansh Poojary, Andy Fang Song, Benny Shone Song, Carly Shaw Song, Liqing Wang, Jianxun Song
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摘要

免疫疗法已成为一种重要的治疗选择,尤其是对传统疗法表现出耐药性的癌症类型。该领域的一个显著突破是嵌合抗原受体(CAR)T细胞疗法的发展。CAR T细胞是通过改造患者的T细胞来表达能够识别特定肿瘤抗原的受体而产生的。这种突破性的方法在血液系统恶性肿瘤中取得了令人印象深刻的结果,包括弥漫性大B细胞淋巴瘤、B细胞急性淋巴细胞白血病和多发性骨髓瘤。尽管取得了这些重大成功,CAR T细胞疗法在治疗实体瘤方面仍面临挑战,导致这些病例的成功有限。因此,研究人员正在积极探索提高CAR T细胞功效的新策略。重点在于增强CAR T细胞向肿瘤的运输,同时防止CAR T淋巴细胞衰竭和功能障碍的发展。本综述旨在全面分析CAR T细胞治疗在癌症治疗中的成就和局限性。通过了解成功和障碍,可以在这一有前景的研究领域取得进一步进展。总体而言,免疫疗法,特别是CAR T细胞疗法,为癌症治疗开辟了新的可能性,为以前无法治疗的恶性肿瘤患者带来了希望。然而,为了充分发挥其潜力,持续的研究和创新策略对于克服实体瘤带来的挑战和在临床环境中最大限度地提高CAR T细胞的疗效至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Investigating chimeric antigen receptor T cell therapy and the potential for cancer immunotherapy (Review).

Immunotherapy has emerged as a crucial treatment option, particularly for types of cancer that display resistance to conventional therapies. A remarkable breakthrough in this field is the development of chimeric antigen receptor (CAR) T cell therapy. CAR T cells are generated by engineering the T cells of a patient to express receptors that can recognize specific tumor antigens. This groundbreaking approach has demonstrated impressive outcomes in hematologic malignancies, including diffuse large B cell lymphoma, B cell acute lymphoblastic leukemia and multiple myeloma. Despite these significant successes, CAR T cell therapy has encountered challenges in its application against solid tumors, leading to limited success in these cases. Consequently, researchers are actively exploring novel strategies to enhance the efficacy of CAR T cells. The focus lies on augmenting CAR T cell trafficking to tumors while preventing the development of CAR T cell exhaustion and dysfunction. The present review aimed to provide a comprehensive analysis of the achievements and limitations of CAR T cell therapy in the context of cancer treatment. By understanding both the successes and hurdles, further advancements in this promising area of research can be developed. Overall, immunotherapy, particularly CAR T cell therapy, has opened up novel possibilities for cancer treatment, offering hope to patients with previously untreatable malignancies. However, to fully realize its potential, ongoing research and innovative strategies are essential in overcoming the challenges posed by solid tumors and maximizing CAR T cell efficacy in clinical settings.

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