Department of Microbiology, Immunology & Molecular Genetics, University of California, Los Angeles, Los Angeles, CA 90095, USA.
Department of Microbiology, Immunology & Molecular Genetics, University of California, Los Angeles, Los Angeles, CA 90095, USA; Mork Family Department of Chemical Engineering and Materials Science, University of Southern California, Los Angeles, CA 90089, USA.
Cell Stem Cell. 2023 May 4;30(5):592-610. doi: 10.1016/j.stem.2023.02.009. Epub 2023 Mar 21.
Advances in cell-based therapy, particularly CAR-T cell therapy, have transformed the treatment of hematological malignancies. Although an important step forward for the field, autologous CAR-T therapies are hindered by high costs, manufacturing challenges, and limited efficacy against solid tumors. With ongoing progress in gene editing and culture techniques, engineered stem cells and their application in cell therapy are poised to address some of these challenges. Here, we review stem cell-based immunotherapy approaches, stem cell sources, gene engineering and manufacturing strategies, therapeutic platforms, and clinical trials, as well as challenges and future directions for the field.
细胞治疗的进展,特别是嵌合抗原受体 T 细胞(CAR-T)疗法,已经改变了血液系统恶性肿瘤的治疗方式。尽管自体 CAR-T 疗法是该领域的重要进展,但由于成本高、制造挑战以及对实体瘤疗效有限,该疗法受到限制。随着基因编辑和培养技术的不断进步,工程化干细胞及其在细胞治疗中的应用有望解决其中的一些挑战。在此,我们综述了基于干细胞的免疫治疗方法、干细胞来源、基因工程和制造策略、治疗平台以及临床试验,探讨了该领域的挑战和未来方向。