癌症免疫疗法的当前进展:着重于基因工程改造T细胞以靶向特定肿瘤抗原的实践

Current Headway in Cancer Immunotherapy Emphasizing the Practice of Genetically Engineered T Cells to Target Selected Tumor Antigens.

作者信息

Ray Suman Kumar, Mukherjee Sukhes

机构信息

Department of Applied Sciences, Indira Gandhi Technological and Medical Sciences University, Ziro, Arunachal Pradesh-791120, India.

Department of Biochemistry, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh-462020, India.

出版信息

Crit Rev Immunol. 2021;41(1):23-40. doi: 10.1615/CritRevImmunol.2020037044.

Abstract

Genetically engineered T-cell therapies have the adeptness to modernize and revolutionize the treatment of cancer. Cancer immunotherapy, by depending on this fundamental recognition method, supports the antitumor viability of T cells and extends adaptive immunity by encouraging adoptive transfer of genetically engineered T cells. T cells assume a key part in cell-mediated immunity as well as to make strategies for genetically modify T cells, counting chimeric antigen receptor (CAR) T-cell therapy and T-cell receptor (TCR) T-cell therapy. They have accomplished significant advances in the treatment of neoplastic diseases. Tumor cells can produce neoantigens that can possibly be immunogenic, as mutated proteins or proteins with reformed translational processing can be viewed as unfamiliar or foreign by immune system. Recognizable human tumor antigens have prompted a superior understanding the idea of tumor antigens, anti-tumor immune reactions in immunotherapeutic patients as well as tumor escape mechanisms. Furthermore, paucity of exceptionally and homogeneously expressed tumor antigens and intrinsic plasticity of neoplastic cells provide key challenges to specificity, effectiveness, and generally adequacy of genetically engineered T-cell therapies. Difficulties ranges from the determination of antigen targets and managing regulatory and safety issues to effectively explore routes to commercial advancement. In any case, the empowering clinical information, advancement in scientific understanding of tumor immunology along with improvements in manufacture of cell products are altogether propelling the clinical interpretation of modern cancer immunotherapies. In this review, we sum up the advancement of genetically engineered T cells, tumor antigen with intrigue the most recent investigation regarding genetically engineered T cells for cancer immunotherapy, and to confer strategies for refining enactment of these T cells to combat cancers.

摘要

基因工程T细胞疗法有能力使癌症治疗现代化并带来变革。癌症免疫疗法依靠这种基本的识别方法,支持T细胞的抗肿瘤活力,并通过促进基因工程T细胞的过继转移来扩展适应性免疫。T细胞在细胞介导的免疫中起关键作用,同时也为基因改造T细胞制定策略,包括嵌合抗原受体(CAR)T细胞疗法和T细胞受体(TCR)T细胞疗法。它们在肿瘤性疾病的治疗方面取得了重大进展。肿瘤细胞可产生可能具有免疫原性的新抗原,因为突变蛋白或翻译加工改变的蛋白可被免疫系统视为陌生或外来物质。可识别的人类肿瘤抗原促使人们对肿瘤抗原的概念、免疫治疗患者的抗肿瘤免疫反应以及肿瘤逃逸机制有了更深入的了解。此外,高度且均匀表达的肿瘤抗原的缺乏以及肿瘤细胞的内在可塑性给基因工程T细胞疗法的特异性、有效性及总体适用性带来了关键挑战。困难范围从抗原靶点的确定、管理监管和安全问题到有效探索商业发展途径。然而,令人鼓舞的临床数据、肿瘤免疫学科学认识的进展以及细胞产品制造方面的改进都在推动现代癌症免疫疗法的临床应用。在本综述中,我们总结了基因工程T细胞的进展、肿瘤抗原,并关注关于用于癌症免疫疗法的基因工程T细胞的最新研究,同时提出优化这些T细胞活性以对抗癌症的策略。

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