Student of General Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Physiotherapy, Cihan University-Erbil, Kurdistan Region, Erbil, Iraq.
Med Oncol. 2023 Apr 21;40(5):155. doi: 10.1007/s12032-023-02019-4.
Nowadays, one of the main challenges clinicians face is malignancies. Through the progression of technology in recent years, tumor nature and tumor microenvironment (TME) can be better understood. Because of immune system involvement in tumorigenesis and immune cell dysfunction in the tumor microenvironment, clinicians encounter significant challenges in patient treatment and normal function recovery. The tumor microenvironment can stop the development of tumor antigen-specific helper and cytotoxic T cells in the tumor invasion process. Tumors stimulate the production of proinflammatory and immunosuppressive factors and cells that inhibit immune responses. Despite the more successful outcomes, the current cancer therapeutic approaches, including surgery, chemotherapy, and radiotherapy, have not been effective enough for tumor eradication. Hence, developing new treatment strategies such as monoclonal antibodies, adaptive cell therapies, cancer vaccines, checkpoint inhibitors, and cytokines helps improve cancer treatment. Among adoptive cell therapies, the interaction between the immune system and malignancies and using molecular biology led to the development of chimeric antigen receptor (CAR) T cell therapy. CAR-modified immune cells are one of the modern cancer therapeutic methods with encouraging outcomes in most hematological and solid cancers. The current study aimed to discuss the structure, formation, subtypes, and application of CAR immune cells in hematologic malignancies and solid tumors.
如今,临床医生面临的主要挑战之一是恶性肿瘤。近年来,随着技术的进步,可以更好地了解肿瘤的性质和肿瘤微环境(TME)。由于免疫系统参与肿瘤发生和肿瘤微环境中免疫细胞功能障碍,临床医生在患者治疗和正常功能恢复方面遇到了重大挑战。肿瘤微环境可以阻止肿瘤侵袭过程中肿瘤抗原特异性辅助性和细胞毒性 T 细胞的发育。肿瘤刺激产生促炎和免疫抑制因子以及抑制免疫反应的细胞。尽管取得了更成功的结果,但目前的癌症治疗方法,包括手术、化疗和放疗,对于肿瘤的根除还不够有效。因此,开发新的治疗策略,如单克隆抗体、适应性细胞疗法、癌症疫苗、检查点抑制剂和细胞因子,有助于改善癌症治疗。在适应性细胞疗法中,免疫系统与恶性肿瘤的相互作用以及分子生物学的应用导致了嵌合抗原受体(CAR)T 细胞疗法的发展。CAR 修饰的免疫细胞是现代癌症治疗方法之一,在大多数血液系统恶性肿瘤和实体瘤中取得了令人鼓舞的结果。本研究旨在讨论 CAR 免疫细胞在血液系统恶性肿瘤和实体肿瘤中的结构、形成、亚型和应用。
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