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