Cockey James R, Leifer Cynthia A
Department of Microbiology and Immunology, College of Veterinary Medicine, Cornell University, Ithaca, NY, United States.
Front Vet Sci. 2023 Feb 17;10:1130182. doi: 10.3389/fvets.2023.1130182. eCollection 2023.
Chimeric antigen receptors (CARs) have demonstrated remarkable promise in human oncology over the past two decades, yet similar strategies in veterinary medicine are still in development. CARs are synthetically engineered proteins comprised of a specific antigen-binding single chain variable fragment (ScFv) fused to the signaling domain of a T cell receptor and co-receptors. Patient T cells engineered to express a CAR are directed to recognize and kill target cells, most commonly hematological malignancies. The U.S Food and Drug Administration (FDA) has approved multiple human CAR T therapies, but translation of these therapies into veterinary medicine faces many challenges. In this review, we discuss considerations for veterinary use including CAR design and cell carrier choice, and discuss the future promise of translating CAR therapy into veterinary oncology.
在过去二十年中,嵌合抗原受体(CARs)在人类肿瘤学领域展现出了巨大的前景,但兽医学中的类似策略仍在研发中。CARs是一种人工合成的工程蛋白,由特定的抗原结合单链可变片段(ScFv)与T细胞受体和共受体的信号域融合而成。经过基因工程改造以表达CAR的患者T细胞被定向识别并杀死靶细胞,最常见的是血液系统恶性肿瘤。美国食品药品监督管理局(FDA)已批准了多种人类CAR-T疗法,但将这些疗法转化应用于兽医学面临诸多挑战。在本综述中,我们讨论了兽用CAR疗法的相关考量因素,包括CAR的设计和细胞载体的选择,并探讨了将CAR疗法转化应用于兽医肿瘤学的未来前景。