Whilding Lynsey M, Maher John
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.
Immunotherapy. 2015;7(3):229-41. doi: 10.2217/imt.14.120.
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.
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。