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嵌合抗原受体巨噬细胞:一种针对实体瘤的新型免疫疗法候选药物。

CAR-macrophage: A new immunotherapy candidate against solid tumors.

机构信息

Institute of Clinical Pharmacology, Anhui Medical University, Key Laboratory of Anti-Inflammatory and Immune Medicine, Ministry of Education, Anhui Collaborative Innovation Center of Anti-Inflammatory and Immune Medicine, Hefei, China.

Department of Gynecology, The First Affiliated Hospital of Shenzhen University, Health Science Center; Shenzhen Second People's Hospital, Shenzhen, China.

出版信息

Biomed Pharmacother. 2021 Jul;139:111605. doi: 10.1016/j.biopha.2021.111605. Epub 2021 Apr 23.

Abstract

Chimeric antigen receptor (CAR)-T cell therapy has been shown to be an effective treatment for hematological tumors, but the treatment of solid tumors still lacks effectiveness. In the tumor microenvironment, macrophages are the innate immune cells with the highest infiltration rate. Tumor-associated macrophages (TAMs) stimulate angiogenesis, increase tumor invasion, and mediate immunosuppression. Because macrophages can infiltrate solid tumor tissue and interact with almost all cellular components in the tumor microenvironment (including tumor cells, immune cells such as T-cells, NK cells, DCs, and other resident non-immune cells), researchers are trying to use macrophages modified with CAR (CAR-M) against solid tumors. This review describes recent reports of CAR-M-based tumor treatments and summarizes their shortcomings and future applications.

摘要

嵌合抗原受体 (CAR)-T 细胞疗法已被证明是治疗血液肿瘤的有效方法,但实体瘤的治疗仍然缺乏疗效。在肿瘤微环境中,巨噬细胞是浸润率最高的固有免疫细胞。肿瘤相关巨噬细胞 (TAMs) 刺激血管生成,增加肿瘤侵袭,并介导免疫抑制。由于巨噬细胞可以浸润实体瘤组织并与肿瘤微环境中的几乎所有细胞成分相互作用(包括肿瘤细胞、T 细胞、NK 细胞、DC 等免疫细胞和其他驻留非免疫细胞),研究人员正试图利用 CAR 修饰的巨噬细胞 (CAR-M) 来对抗实体瘤。本文综述了基于 CAR-M 的肿瘤治疗的最新报道,并总结了它们的缺点和未来的应用。

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