Regeneron Pharmaceuticals, Inc., Tarrytown, New York.
Mol Cancer Ther. 2021 Aug;20(8):1350-1358. doi: 10.1158/1535-7163.MCT-21-0073. Epub 2021 May 27.
Immunotherapies to treat cancer have made tremendous progress over the past decade. In particular, T cell-directed therapies have gained considerable attention with CD3 bispecific antibodies and CAR T cells showing potent responses against hematologic tumors. At present, the ability to adapt these therapeutics to treat solid tumors is less established. Herein, we discuss recent advances in T cell-engaging CD3 bispecific antibodies targeting solid tumors, potential mechanisms of resistance, and future prospects. A better understanding of the mechanisms of immune evasion in solid tumors will enable the development of strategies to overcome this resistance and inform choices of therapeutic combinations.
在过去的十年中,癌症的免疫疗法取得了巨大的进展。特别是,T 细胞导向疗法引起了广泛关注,CD3 双特异性抗体和 CAR-T 细胞对血液肿瘤显示出强大的反应。目前,将这些疗法应用于治疗实体瘤的能力还不太确定。本文讨论了针对实体瘤的新型 T 细胞结合 CD3 双特异性抗体的最新进展、潜在的耐药机制以及未来前景。更好地了解实体瘤中的免疫逃逸机制将有助于开发克服这种耐药性的策略,并为治疗组合的选择提供信息。