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嵌合抗原受体-T/自然杀伤细胞治疗实体瘤的挑战:聚焦结直肠癌及联合治疗评估。

Challenges of chimeric antigen receptor-T/natural killer cell therapy in the treatment of solid tumors: focus on colorectal cancer and evaluation of combination therapies.

机构信息

Department of Gastrointestinal Surgery, Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University, Shaoxing, 312000, China.

Department of Colorectal Surgery, Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University, 568# Zhongxing North Road, Shaoxing, 312000, China.

出版信息

Mol Cell Biochem. 2023 May;478(5):967-980. doi: 10.1007/s11010-022-04568-0. Epub 2022 Oct 3.


DOI:10.1007/s11010-022-04568-0
PMID:36190614
Abstract

Colorectal cancer (CRC) is the second most common cancer globally and one of the deadliest human malignancies. Traditional therapies, such as surgery, chemotherapy, and combination therapies have been used to treat patients with CRC. However, recently immunotherapy has been considered a practical and attractive therapeutic approach in various cancers, such as CRC. Among the immunotherapy methods, chimeric antigen receptor (CAR)-T, and CAR-natural killer cells (NK) cells therapy have been significantly successful, mainly in treating hematological malignancies. However, the effectiveness of CAR-T/NK cell therapy in the treatment of solid tumors, such as CRC has been less than blood malignancies due to various challenges, such as the selection of tumor antigens, lack of proper trafficking in tumor tissue, immunosuppressive tumor microenvironment, tumor heterogeneity and, adverse effects during and after CAR-T/NK cell therapy. This review summarized the biological structure of CAR-T/NK cells and their use in various types of human malignancies, particularly CRC, as well as the challenges of this type of treatment and the outcome of related combination therapies.

摘要

结直肠癌(CRC)是全球第二大常见癌症,也是最致命的人类恶性肿瘤之一。传统的治疗方法,如手术、化疗和联合治疗,已被用于治疗 CRC 患者。然而,最近免疫疗法被认为是治疗各种癌症(如 CRC)的一种实用且有吸引力的治疗方法。在免疫疗法方法中,嵌合抗原受体(CAR)-T 和 CAR-自然杀伤(NK)细胞疗法已经取得了显著的成功,主要用于治疗血液恶性肿瘤。然而,由于各种挑战,如肿瘤抗原的选择、在肿瘤组织中缺乏适当的运输、免疫抑制性肿瘤微环境、肿瘤异质性以及 CAR-T/NK 细胞治疗过程中和之后的不良反应,CAR-T/NK 细胞疗法在治疗实体瘤(如 CRC)方面的疗效不如血液恶性肿瘤。本文综述了 CAR-T/NK 细胞的生物学结构及其在各种类型的人类恶性肿瘤中的应用,特别是 CRC,以及这种治疗方法的挑战和相关联合治疗的结果。

相似文献

[1]
Challenges of chimeric antigen receptor-T/natural killer cell therapy in the treatment of solid tumors: focus on colorectal cancer and evaluation of combination therapies.

Mol Cell Biochem. 2023-5

[2]
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[3]
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[6]
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[7]
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[8]
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引用本文的文献

[1]
Adoptive cell therapy in colorectal cancer: Advances in chimeric antigen receptor T cells.

World J Gastrointest Oncol. 2025-7-15

[2]
Targets for CAR Therapy in Multiple Myeloma.

Int J Mol Sci. 2025-6-24

[3]
CD147-CAR-NK cell therapy shows minimal toxicities in human CD147 transgenic mouse model with solid tumors.

Mol Ther Oncol. 2025-2-26

[4]
Challenges in validation of combination treatment strategies for CRC using patient-derived organoids.

J Exp Clin Cancer Res. 2024-9-11

[5]
The synergistic immunotherapeutic impact of engineered CAR-T cells with PD-1 blockade in lymphomas and solid tumors: a systematic review.

Front Immunol. 2024

[6]
Can immunotherapy reinforce chemotherapy efficacy? a new perspective on colorectal cancer treatment.

Front Immunol. 2023

本文引用的文献

[1]
STING agonist cGAMP enhances anti-tumor activity of CAR-NK cells against pancreatic cancer.

Oncoimmunology. 2022

[2]
Gut microbiome correlates of response and toxicity following anti-CD19 CAR T cell therapy.

Nat Med. 2022-4

[3]
Immunological Characteristics of Hyperprogressive Disease in Patients with Non-small Cell Lung Cancer Treated with Anti-PD-1/PD-L1 Abs.

Immune Netw. 2020-12-21

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T-cell-based immunotherapy in colorectal cancer.

Cancer Lett. 2021-2-1

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Chimeric Antigen Receptor T Cell Therapy Targeting ICAM-1 in Gastric Cancer.

Mol Ther Oncolytics. 2020-8-21

[6]
CAR-NK cells: A promising cellular immunotherapy for cancer.

EBioMedicine. 2020-9

[7]
CAR-modified memory-like NK cells exhibit potent responses to NK-resistant lymphomas.

Blood. 2020-11-12

[8]
DNAM1 and 2B4 Costimulatory Domains Enhance the Cytotoxicity of Anti-GPC3 Chimeric Antigen Receptor-Modified Natural Killer Cells Against Hepatocellular Cancer Cells in vitro.

Cancer Manag Res. 2020-5-8

[9]
Cord Blood CAR-NK Cells: Favorable Initial Efficacy and Toxicity but Durability of Clinical Responses Not Yet Clear.

Cancer Cell. 2020-4-13

[10]
A Humanized Lym-1 CAR with Novel DAP10/DAP12 Signaling Domains Demonstrates Reduced Tonic Signaling and Increased Antitumor Activity in B-Cell Lymphoma Models.

Clin Cancer Res. 2020-7-15

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