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突破障碍:更智能的 CAR 工程化 NK 细胞对抗实体瘤的潜力。

Breaking down barriers: The potential of smarter CAR-engineered NK cells against solid tumors.

机构信息

Institute of Translational Medicine, Medical College, Yangzhou University, Yangzhou, China.

Jiangsu Key Laboratory of Experimental and, Translational Noncoding RNA Research, Yangzhou, China.

出版信息

J Cell Biochem. 2023 Aug;124(8):1082-1104. doi: 10.1002/jcb.30460. Epub 2023 Aug 11.

Abstract

Natural killer (NK) cells are considered to be the foremost fighters of our innate immune system against foreign invaders and thus tend to promptly latch onto the virus-infected and tumor/cancerous cells, killing them through phagocytosis. At present, the application of genetically engineered Chimeric antigen receptor (CAR) receptors ensures a guaranteed optimistic response with NK cells and would not allow the affected cells to dodge or escape unchecked. Hence the specificity and uniqueness of CAR-NK cells over CAR-T therapy make them a better immunotherapeutic choice to reduce the load of trafficking of numerous tumor cells near the healthy cell populations in a more intact way than offered by CAR-T immunotherapy. Our review mainly focuses on the preclinical, clinical, and recent advances in clinical research trials and further strategies to achieve an augmented and efficient cure against solid tumors.

摘要

自然杀伤 (NK) 细胞被认为是我们先天免疫系统对抗外来侵略者的首要战士,因此往往会迅速锁定病毒感染和肿瘤/癌细胞,并通过吞噬作用将其杀死。目前,经过基因工程改造的嵌合抗原受体 (CAR) 受体的应用可确保 NK 细胞产生有保证的乐观反应,并且不会允许受影响的细胞逃避或不受控制地逃脱。因此,CAR-NK 细胞相对于 CAR-T 疗法的特异性和独特性使它们成为更好的免疫治疗选择,以比 CAR-T 免疫疗法更完整的方式减少大量肿瘤细胞在健康细胞群附近迁移的负担。我们的综述主要侧重于临床前、临床和临床试验的最新进展,并进一步探讨了增强和提高对实体瘤的有效治疗的策略。

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