Suppr超能文献

嵌合抗原受体 T 细胞疗法治疗实体瘤的现状:机制、研究进展、挑战和对策。

The current landscape of CAR T-cell therapy for solid tumors: Mechanisms, research progress, challenges, and counterstrategies.

机构信息

Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.

Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Front Immunol. 2023 Mar 20;14:1113882. doi: 10.3389/fimmu.2023.1113882. eCollection 2023.

Abstract

The successful outcomes of chimeric antigen receptor (CAR) T-cell therapy in treating hematologic cancers have increased the previously unprecedented excitement to use this innovative approach in treating various forms of human cancers. Although researchers have put a lot of work into maximizing the effectiveness of these cells in the context of solid tumors, few studies have discussed challenges and potential strategies to overcome them. Restricted trafficking and infiltration into the tumor site, hypoxic and immunosuppressive tumor microenvironment (TME), antigen escape and heterogeneity, CAR T-cell exhaustion, and severe life-threatening toxicities are a few of the major obstacles facing CAR T-cells. CAR designs will need to go beyond the traditional architectures in order to get over these limitations and broaden their applicability to a larger range of malignancies. To enhance the safety, effectiveness, and applicability of this treatment modality, researchers are addressing the present challenges with a wide variety of engineering strategies as well as integrating several therapeutic tactics. In this study, we reviewed the antigens that CAR T-cells have been clinically trained to recognize, as well as counterstrategies to overcome the limitations of CAR T-cell therapy, such as recent advances in CAR T-cell engineering and the use of several therapies in combination to optimize their clinical efficacy in solid tumors.

摘要

嵌合抗原受体 (CAR) T 细胞疗法在治疗血液系统恶性肿瘤方面取得的成功,增加了人们以前所未有的兴奋,将这种创新方法用于治疗各种形式的人类癌症。尽管研究人员在将这些细胞在实体瘤中的有效性最大化方面做了很多工作,但很少有研究讨论克服这些挑战的方法和策略。CAR T 细胞面临的主要障碍包括:受限的迁移和浸润到肿瘤部位、缺氧和免疫抑制的肿瘤微环境 (TME)、抗原逃逸和异质性、CAR T 细胞耗竭以及严重的危及生命的毒性。CAR 设计需要超越传统架构,以克服这些限制,并将其适用性扩展到更广泛的恶性肿瘤范围。为了提高这种治疗方式的安全性、有效性和适用性,研究人员正在通过各种工程策略以及整合多种治疗策略来应对当前的挑战。在本研究中,我们综述了 CAR T 细胞已被临床训练识别的抗原,以及克服 CAR T 细胞治疗局限性的对策,例如 CAR T 细胞工程的最新进展以及联合使用多种疗法以优化其在实体瘤中的临床疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d571/10067596/12c5becc31a5/fimmu-14-1113882-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验