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乳腺癌的过继细胞免疫疗法:利用免疫细胞的力量。

Adoptive cell immunotherapy for breast cancer: harnessing the power of immune cells.

机构信息

Department of Breast Surgery, Harbin Medical University Cancer Hospital, 150 Haping Road, Harbin 150076, Heilongjiang, China.

Department of Pathology, Harbin Medical University, 157 Baojian Road, Harbin 150081, Heilongjiang, China.

出版信息

J Leukoc Biol. 2024 Apr 29;115(5):866-881. doi: 10.1093/jleuko/qiad144.

Abstract

Breast cancer is the most prevalent malignant neoplasm worldwide, necessitating the development of novel therapeutic strategies owing to the limitations posed by conventional treatment modalities. Immunotherapy is an innovative approach that has demonstrated significant efficacy in modulating a patient's innate immune system to combat tumor cells. In the era of precision medicine, adoptive immunotherapy for breast cancer has garnered widespread attention as an emerging treatment strategy, primarily encompassing cellular therapies such as tumor-infiltrating lymphocyte therapy, chimeric antigen receptor T/natural killer/M cell therapy, T cell receptor gene-engineered T cell therapy, lymphokine-activated killer cell therapy, cytokine-induced killer cell therapy, natural killer cell therapy, and γδ T cell therapy, among others. This treatment paradigm is based on the principles of immune memory and antigen specificity, involving the collection, processing, and expansion of the patient's immune cells, followed by their reintroduction into the patient's body to activate the immune system and prevent tumor recurrence and metastasis. Currently, multiple clinical trials are assessing the feasibility, effectiveness, and safety of adoptive immunotherapy in breast cancer. However, this therapeutic approach faces challenges associated with tumor heterogeneity, immune evasion, and treatment safety. This review comprehensively summarizes the latest advancements in adoptive immunotherapy for breast cancer and discusses future research directions and prospects, offering valuable guidance and insights into breast cancer immunotherapy.

摘要

乳腺癌是全球最常见的恶性肿瘤,由于传统治疗方法的局限性,需要开发新的治疗策略。免疫疗法是一种创新的方法,已经证明在调节患者的固有免疫系统以对抗肿瘤细胞方面具有显著的疗效。在精准医学时代,乳腺癌的过继性免疫疗法作为一种新兴的治疗策略备受关注,主要包括肿瘤浸润淋巴细胞疗法、嵌合抗原受体 T/自然杀伤/M 细胞疗法、T 细胞受体基因工程 T 细胞疗法、淋巴因子激活的杀伤细胞疗法、细胞因子诱导的杀伤细胞疗法、自然杀伤细胞疗法和γδ T 细胞疗法等。这种治疗模式基于免疫记忆和抗原特异性的原则,包括收集、处理和扩增患者的免疫细胞,然后将其重新引入患者体内,以激活免疫系统,防止肿瘤复发和转移。目前,多项临床试验正在评估过继性免疫疗法在乳腺癌中的可行性、有效性和安全性。然而,这种治疗方法面临着与肿瘤异质性、免疫逃逸和治疗安全性相关的挑战。本综述全面总结了乳腺癌过继性免疫疗法的最新进展,并讨论了未来的研究方向和前景,为乳腺癌免疫治疗提供了有价值的指导和见解。

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