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用于肝癌的嵌合抗原受体工程化T细胞:进展与障碍

Chimeric antigen receptor-engineered T cells for liver cancers, progress and obstacles.

作者信息

Li Keyu, Lan Yaliang, Wang Jiabei, Liu Lianxin

机构信息

1 Key Laboratory of Hepatosplenic Surgery, Ministry of Education, Department of General Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.

2 Division of Hepatic Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.

出版信息

Tumour Biol. 2017 Mar;39(3):1010428317692229. doi: 10.1177/1010428317692229.

Abstract

Chimeric antigen receptor-engineered T cells therapy has become the hottest topic of immunotherapy, as its great successes achieved in treating refractory hematological malignancies. These successes also paved the road to novel strategies of treating various solid tumors including liver cancer. Many specific proteins can be expressed aberrantly in liver cancers; therefore, a series of experimental and clinical researches exploring chimeric antigen receptor-engineered T cells and liver cancer are in progress, acquiring obvious antitumor effect and revealing its feasibility in treating liver cancer. However, lots of challenges and obstacles are emerging simultaneously, such as low infiltration, side effects, safety of chimeric antigen receptor-engineered T cells, and limited data of studies or clinical trials. Researchers have been working out many innovative ways to directly stroke these obstacles, theoretically or practically. This review focuses more on the progress and obstacles from chimeric antigen receptor-engineered T cells therapy to treat liver cancer, summarizing new breakthroughs in shooting those obstacles, meanwhile, hoping to provide enlightenment to this promising immunotherapeutic method.

摘要

嵌合抗原受体工程化T细胞疗法已成为免疫疗法中最热门的话题,因为其在治疗难治性血液系统恶性肿瘤方面取得了巨大成功。这些成功也为包括肝癌在内的各种实体瘤的新治疗策略铺平了道路。许多特定蛋白质可在肝癌中异常表达;因此,一系列探索嵌合抗原受体工程化T细胞与肝癌的实验和临床研究正在进行中,取得了明显的抗肿瘤效果,并揭示了其在治疗肝癌方面的可行性。然而,许多挑战和障碍也同时出现,如嵌合抗原受体工程化T细胞的低浸润、副作用、安全性以及研究或临床试验数据有限等。研究人员一直在从理论或实践上想出许多创新方法来直接攻克这些障碍。本综述更多地关注嵌合抗原受体工程化T细胞疗法治疗肝癌的进展和障碍,总结攻克这些障碍的新突破,同时希望为这种有前景的免疫治疗方法提供启示。

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