Iranian Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran.
Department of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int Immunopharmacol. 2022 Feb;103:108499. doi: 10.1016/j.intimp.2021.108499. Epub 2021 Dec 28.
Immunotherapy has been developing at an unprecedented speed with promising therapeutic outcomes in the wide spectrum of cancers. Up until now, most immunotherapies have focused on adaptive immunity; however, investigating the potential of macrophage phagocytosis and consequent adaptive immune cross-priming has led to a growing interest in exploiting macrophages in cancer therapy. In light of the positive evidence from preclinical studies and early clinical data, targeting macrophage phagocytosis has become a promising therapeutic strategy. Here, we review therapies based on harnessing and amplifying macrophage phagocytosis, such as blocking phagocytosis checkpoints and exploiting nanoparticles as efficient approaches in elevating macrophages-mediated phagocytosis. The present study introduces CAR-macrophage as the state-of-the-art modality serving as the bridge between the innate and adaptive immune system to mount a superior anti-tumor response in the treatment of cancer. We also take a look at the recent reports of therapies based on CAR-engineered macrophages with the hope of providing a future research direction for expanding the application of CAR-macrophage therapy.
免疫疗法在癌症的广泛范围内取得了有希望的治疗效果,发展速度前所未有。到目前为止,大多数免疫疗法都集中在适应性免疫上;然而,研究巨噬细胞吞噬作用的潜力以及随之而来的适应性免疫交叉引发,导致人们越来越有兴趣在癌症治疗中利用巨噬细胞。鉴于临床前研究和早期临床数据的积极证据,靶向巨噬细胞吞噬作用已成为一种有前途的治疗策略。在这里,我们综述了基于利用和放大巨噬细胞吞噬作用的疗法,例如阻断吞噬作用检查点和利用纳米颗粒作为提高巨噬细胞介导的吞噬作用的有效方法。本研究介绍了 CAR 巨噬细胞作为连接先天和适应性免疫系统的最新模式,以在癌症治疗中引发优越的抗肿瘤反应。我们还研究了基于 CAR 工程化巨噬细胞的疗法的最新报道,希望为扩大 CAR 巨噬细胞治疗的应用提供未来的研究方向。
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