Institute of Life Sciences, Jiangsu University, Zhenjiang, China.
School of the Environment and Safety Engineering, Jiangsu University, Zhenjiang, China.
Cancer Biother Radiopharm. 2021 May;36(4):307-315. doi: 10.1089/cbr.2020.4089. Epub 2021 Jan 22.
Digestive system cancers, including hepatocellular carcinoma, colorectal and gastric tumors, are characterized by high rates of incidence and mortality. Digestive cancers are difficult to diagnose during the early stages, and the side effects of chemotherapy are often severe and may outweigh the therapeutic benefits. Chimeric antibody chimeric antigen receptor T cell (CAR-T) therapy, a novel immunotherapy, has achieved excellent results for the treatment of hematological tumors. However, CAR-T treatment of solid tumors has struggled due to a lack of target specificity, a difficult tumor microenvironment, and T cell homing. Despite the challenges, CAR-T treatment of digestive cancers is progressing. Combining CAR-T with other targets and/or modifying the CAR may represent the most promising approaches for future treatment of digestive cancers.
消化系统癌症,包括肝细胞癌、结直肠癌和胃癌,其发病率和死亡率都很高。消化系统癌症在早期阶段很难诊断,化疗的副作用往往很严重,可能超过治疗效果。嵌合抗体嵌合抗原受体 T 细胞(CAR-T)疗法是一种新型免疫疗法,在治疗血液肿瘤方面取得了优异的效果。然而,由于缺乏靶向特异性、肿瘤微环境困难和 T 细胞归巢等问题,CAR-T 治疗实体瘤仍面临挑战。尽管存在挑战,但 CAR-T 治疗消化系统癌症仍在不断发展。将 CAR-T 与其他靶点结合和/或修饰 CAR 可能是未来治疗消化系统癌症最有前途的方法。