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通用 CAR-T 细胞治疗的进展。

Advances in Universal CAR-T Cell Therapy.

机构信息

Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Front Immunol. 2021 Oct 6;12:744823. doi: 10.3389/fimmu.2021.744823. eCollection 2021.

Abstract

Chimeric antigen receptor T (CAR-T) cell therapy achieved extraordinary achievements results in antitumor treatments, especially against hematological malignancies, where it leads to remarkable, long-term antineoplastic effects with higher target specificity. Nevertheless, some limitations persist in autologous CAR-T cell therapy, such as high costs, long manufacturing periods, and restricted cell sources. The development of a universal CAR-T (UCAR-T) cell therapy is an attractive breakthrough point that may overcome most of these drawbacks. Here, we review the progress and challenges in CAR-T cell therapy, especially focusing on comprehensive comparison in UCAR-T cell therapy to original CAR-T cell therapy. Furthermore, we summarize the developments and concerns about the safety and efficiency of UCAR-T cell therapy. Finally, we address other immune cells, which might be promising candidates as a complement for UCAR-T cells. Through a detailed overview, we describe the current landscape and explore the prospect of UCAR-T cell therapy.

摘要

嵌合抗原受体 T(CAR-T)细胞疗法在抗肿瘤治疗中取得了非凡的成就,尤其是在血液恶性肿瘤方面,其具有显著的、长期的抗肿瘤作用,并且具有更高的靶向特异性。然而,自体 CAR-T 细胞疗法仍然存在一些局限性,例如高成本、制造周期长和细胞来源受限。开发通用型 CAR-T(UCAR-T)细胞疗法是一个有吸引力的突破点,可能克服大多数这些缺点。在这里,我们综述了 CAR-T 细胞疗法的进展和挑战,特别是特别关注 UCAR-T 细胞疗法与原始 CAR-T 细胞疗法的全面比较。此外,我们总结了关于 UCAR-T 细胞疗法的安全性和有效性的发展和关注点。最后,我们讨论了其他免疫细胞,它们可能是作为 UCAR-T 细胞的补充的有前途的候选者。通过详细的概述,我们描述了当前的现状,并探讨了 UCAR-T 细胞疗法的前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33f0/8526896/a4020c41b079/fimmu-12-744823-g001.jpg

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