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嵌合抗原受体T细胞疗法治疗胶质母细胞瘤。

Chimeric antigen receptor T-cell therapy for glioblastoma.

作者信息

Rodriguez Analiz, Brown Christine, Badie Behnam

机构信息

Division of Neurosurgery, Department of Surgery, City of Hope National Medical Center, Duarte, Calif.

Department of Hematology and Hematopoietic Cell Transplantation, T Cell Therapeutics Research Laboratory, City of Hope Beckman Research Institute, Duarte, Calif.

出版信息

Transl Res. 2017 Sep;187:93-102. doi: 10.1016/j.trsl.2017.07.003. Epub 2017 Jul 15.

Abstract

Chimeric antigen receptor (CAR) T-cell therapy has shown great promise in the treatment of hematological disease, and its utility for treatment of solid tumors is beginning to unfold. Glioblastoma continues to portend a grim prognosis and immunotherapeutic approaches are being explored as a potential treatment strategy. Identification of appropriate glioma-associated antigens, barriers to cell delivery, and presence of an immunosuppressive microenvironment are factors that make CAR T-cell therapy for glioblastoma particularly challenging. However, insights gained from preclinical studies and ongoing clinical trials indicate that CAR T-cell therapy will continue to evolve and likely become integrated with current therapeutic strategies for malignant glioma.

摘要

嵌合抗原受体(CAR)T细胞疗法在血液系统疾病治疗中已显示出巨大前景,其在实体瘤治疗中的应用也开始展现。胶质母细胞瘤的预后仍然严峻,免疫治疗方法正在作为一种潜在的治疗策略进行探索。确定合适的胶质瘤相关抗原、细胞递送障碍以及免疫抑制微环境的存在,这些因素使得CAR T细胞疗法治疗胶质母细胞瘤极具挑战性。然而,临床前研究和正在进行的临床试验所获得的见解表明,CAR T细胞疗法将不断发展,并可能与目前恶性胶质瘤的治疗策略相结合。

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