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实体瘤的嵌合抗原受体T细胞疗法:现状、障碍与未来策略

Chimeric Antigen Receptor T Cell Therapy for Solid Tumors: Current Status, Obstacles and Future Strategies.

作者信息

Heyman Benjamin, Yang Yiping

机构信息

Division of Regenerative Medicine, Department of Medicine, UC San Diego, La Jolla, CA 92093, USA.

Division of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Department of Immunology, Duke University, Durham, NC 27710, USA.

出版信息

Cancers (Basel). 2019 Feb 6;11(2):191. doi: 10.3390/cancers11020191.

Abstract

Chimeric antigen receptor T cells (CAR T Cells) have led to dramatic improvements in the survival of cancer patients, most notably those with hematologic malignancies. Early phase clinical trials in patients with solid tumors have demonstrated them to be feasible, but unfortunately has yielded limited efficacy for various cancer types. In this article we will review the background on CAR T cells for the treatment of solid tumors, focusing on the unique obstacles that solid tumors present for the development of adoptive T cell therapy, and the novel approaches currently under development to overcome these hurdles.

摘要

嵌合抗原受体T细胞(CAR-T细胞)已使癌症患者的生存率得到显著提高,尤其是那些患有血液系统恶性肿瘤的患者。针对实体瘤患者的早期临床试验已证明其具有可行性,但遗憾的是,对各种癌症类型的疗效有限。在本文中,我们将回顾用于治疗实体瘤的CAR-T细胞的背景知识,重点关注实体瘤在过继性T细胞治疗发展中所呈现的独特障碍,以及目前正在开发的克服这些障碍的新方法。

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