DeSelm Carl J, Tano Zachary E, Varghese Anna M, Adusumilli Prasad S
Center for Cell Engineering, Memorial Sloan Kettering Cancer Center, New York, New York.
Thoracic Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
J Surg Oncol. 2017 Jul;116(1):63-74. doi: 10.1002/jso.24627. Epub 2017 Mar 27.
Chimeric antigen receptor (CAR) T-cell therapy utilizes genetic engineering to redirect a patient's own T cells to target cancer cells. The remarkable results in hematological malignancies prompted investigating this approach in solid tumors such as pancreatic cancer. The complex tumor microenvironment, stromal hindrance in limiting immune response, and expression of checkpoint blockade on T cells pose hurdles. Herein, we summarize the opportunities, challenges, and state of knowledge in targeting pancreatic cancer with CAR T-cell therapy.
嵌合抗原受体(CAR)T细胞疗法利用基因工程技术将患者自身的T细胞重定向,以靶向癌细胞。在血液系统恶性肿瘤中取得的显著成果促使人们在胰腺癌等实体瘤中研究这种方法。复杂的肿瘤微环境、限制免疫反应的基质障碍以及T细胞上检查点阻断的表达构成了障碍。在此,我们总结了用CAR T细胞疗法靶向胰腺癌的机遇、挑战和知识现状。