Chicaybam Leonardo, Bonamino Martin Hernan
1Instituto Nacional de Câncer, Programa de Carcinogênese Molecular, Coordenação de Pesquisa, Rio de Janeiro, Brazil.
Int Rev Immunol. 2014 Oct;33(5):402-16. doi: 10.3109/08830185.2014.917412. Epub 2014 Jun 9.
Adoptive cell transfer (ACT) is emerging as a powerful modality of cancer treatment. While ACT has proved able to induce massive clinical responses, genetic modification of T lymphocytes further improved clinical responses obtained. One of the major current limitations of ACT is the inability to discern healthy from malignant cells, leading to on target/off tumor responses that can limit its application. We here discuss some of the approaches currently under development and potential solutions to circumvent these limitations and extend this potentially curative therapy to different tumors by targeting a variety of antigens.
过继性细胞转移(ACT)正在成为一种强大的癌症治疗方式。虽然ACT已被证明能够引发大量临床反应,但T淋巴细胞的基因改造进一步改善了所获得的临床反应。ACT目前的主要局限性之一是无法区分健康细胞和恶性细胞,导致靶向肿瘤外的反应,这可能会限制其应用。我们在此讨论一些目前正在开发的方法以及潜在的解决方案,以规避这些局限性,并通过靶向多种抗原将这种潜在的治愈性疗法扩展到不同的肿瘤。