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靶向ErbB的嵌合抗原受体T细胞癌症免疫疗法。

ErbB-targeted CAR T-cell immunotherapy of cancer.

作者信息

Whilding Lynsey M, Maher John

机构信息

King's College London, King's Health Partners Integrated Cancer Center, Department of Research Oncology, Guy's Hospital Campus, Great Maze Pond, London SE1 9RT, UK.

出版信息

Immunotherapy. 2015;7(3):229-41. doi: 10.2217/imt.14.120.

Abstract

Chimeric antigen receptor (CAR) based immunotherapy has been under development for the last 25 years and is now a promising new treatment modality in the field of cancer immunotherapy. The approach involves genetically engineering T cells to target malignant cells through expression of a bespoke fusion receptor that couples an HLA-independent antigen recognition domain to one or more intracellular T-cell activating modules. Multiple clinical trials are now underway in several centers to investigate CAR T-cell immunotherapy of diverse hematologic and solid tumor types. The most successful results have been achieved in the treatment of patients with B-cell malignancies, in whom several complete and durable responses have been achieved. This review focuses on the preclinical and clinical development of CAR T-cell immunotherapy of solid cancers, targeted against members of the ErbB family.

摘要

在过去25年中,嵌合抗原受体(CAR)免疫疗法一直在研发中,如今已成为癌症免疫治疗领域一种很有前景的新治疗方式。该方法包括对T细胞进行基因工程改造,通过表达定制的融合受体来靶向恶性细胞,该融合受体将一个不依赖HLA的抗原识别域与一个或多个细胞内T细胞激活模块偶联。目前,多个中心正在进行多项临床试验,以研究CAR T细胞免疫疗法对多种血液系统和实体瘤类型的疗效。在治疗B细胞恶性肿瘤患者方面取得了最成功的结果,已有数例患者实现了完全且持久的缓解。本综述聚焦于针对ErbB家族成员的实体癌CAR T细胞免疫疗法的临床前和临床开发。

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