Immune Therapy Program, Campbell Family Institute for Breast Cancer Research, Campbell Family Cancer Research Institute, Princess Margaret Cancer Centre, Toronto, ON, Canada; Department of Medicine, University of Toronto, Toronto, ON, Canada.
Immunol Rev. 2014 Jan;257(1):191-209. doi: 10.1111/imr.12129.
Adoptive T-cell therapy, where anti-tumor T cells are first prepared in vitro, is attractive since it facilitates the delivery of essential signals to selected subsets of anti-tumor T cells without unfavorable immunoregulatory issues that exist in tumor-bearing hosts. Recent clinical trials have demonstrated that anti-tumor adoptive T-cell therapy, i.e. infusion of tumor-specific T cells, can induce clinically relevant and sustained responses in patients with advanced cancer. The goal of adoptive cell therapy is to establish anti-tumor immunologic memory, which can result in life-long rejection of tumor cells in patients. To achieve this goal, during the process of in vitro expansion, T-cell grafts used in adoptive T-cell therapy must be appropriately educated and equipped with the capacity to accomplish multiple, essential tasks. Adoptively transferred T cells must be endowed, prior to infusion, with the ability to efficiently engraft, expand, persist, and traffic to tumor in vivo. As a strategy to consistently generate T-cell grafts with these capabilities, artificial antigen-presenting cells have been developed to deliver the proper signals necessary to T cells to enable optimal adoptive cell therapy.
过继性 T 细胞疗法是指在体外制备抗肿瘤 T 细胞,该疗法具有吸引力,因为它可以向选定的抗肿瘤 T 细胞亚群传递必需的信号,而不会产生肿瘤宿主中存在的不利免疫调节问题。最近的临床试验表明,抗肿瘤过继性 T 细胞疗法(即输注肿瘤特异性 T 细胞)可在晚期癌症患者中诱导具有临床相关性和持久性的应答。过继细胞疗法的目的是建立抗肿瘤免疫记忆,从而使患者的肿瘤细胞长期受到排斥。为了实现这一目标,在体外扩增过程中,过继 T 细胞疗法中使用的 T 细胞移植物必须经过适当的教育,并具备完成多项基本任务的能力。输注前,过继转移的 T 细胞必须具有有效植入、扩增、持续存在和在体内向肿瘤归巢的能力。为了始终如一地生成具有这些能力的 T 细胞移植物,已经开发了人工抗原呈递细胞来向 T 细胞传递必需的信号,以实现最佳的过继细胞疗法。