Wang Wan-Ning, Zhou Guang-Yu, Zhang Wen-Long
Department of Nephrology, First Hospital of Jilin University, Changchun, China.
Department of Nephrology, China-Japan Union Hospital of Jilin University, Changchun, China.
Immunotherapy. 2017 Aug;9(9):753-765. doi: 10.2217/imt-2017-0022. Epub 2017 Aug 3.
The remarkable clinical outcomes of the treatment for B-cell malignancies through the application of CD19 chimeric antigen receptor T (CAR-T) cells have made adoptive immunotherapy with genetically modified immune effector cells a hotspot in the field of antitumor. However, numerous toxicities of CAR-T cells have been identified. Thus, some studies have resorted to another cytotoxic cell, NK-92 cell, to reach for better efficacy with minimal toxicity. Preclinical studies have confirmed the safety and feasibility of the genetically modified NK-92 cells with highly specific cytotoxicity in vitro and in vivo. Therefore, it is expected that NK-92 cell becomes another ideal carrier for CAR for its unique advantages over primary NK cells, parental NK-92 cells and autologous T cells.
通过应用CD19嵌合抗原受体T(CAR-T)细胞治疗B细胞恶性肿瘤取得的显著临床疗效,使基因改造的免疫效应细胞过继性免疫疗法成为抗肿瘤领域的一个热点。然而,已发现CAR-T细胞存在众多毒性。因此,一些研究转而采用另一种细胞毒性细胞——NK-92细胞,以期在毒性最小的情况下获得更好的疗效。临床前研究已证实基因改造的NK-92细胞在体外和体内具有高度特异性细胞毒性的安全性和可行性。因此,由于NK-92细胞相对于原代NK细胞、亲本NK-92细胞和自体T细胞具有独特优势,有望成为CAR的另一种理想载体。
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