Tang Yuxiang, Yang Xiaoyu, Hu Hang, Jiang Huiwen, Xiong Wei, Mei Heng, Hu Yu
Tongji Medical College, Union Hospital, Institute of Hematology, Huazhong University of Science and Technology, Wuhan, China.
Hubei Clinical Medical Center of Cell Therapy for Neoplastic Disease, Wuhan, China.
Front Bioeng Biotechnol. 2024 Jan 18;11:1320807. doi: 10.3389/fbioe.2023.1320807. eCollection 2023.
Chimeric antigen receptor (CAR) T cells exhibit promising progress in addressing hematologic malignancies. However, CAR-T therapy for solid tumors remains limited, with no FDA-approved CAR-T products available for clinical use at present. Primary reasons include insufficient infiltration, accumulation, tumor immunosuppression of the microenvironment, and related side effects. Single utilization of CAR-T cannot effectively overcome these unfavorable obstacles. A probable effective pathway to achieve a better CAR-T therapy effect would be to combine the benefits of biomaterials-based technology. In this article, comprehensive biomaterials strategies to break through these obstacles of CAR-T cell therapy at the tumor sites are summarized, encompassing the following aspects: 1) generating orthotopic CAR-T cells; 2) facilitating CAR-T cell trafficking; 3) stimulating CAR-T cell expansion and infiltration; 4) improving CAR-T cell activity and persistence; 5) reprogramming the immunosuppressive microenvironments. Additionally, future requirements for the development of this field, with a specific emphasis on promoting innovation and facilitating clinical translation, are thoroughly discussed.
嵌合抗原受体(CAR)T细胞在治疗血液系统恶性肿瘤方面展现出了良好的进展。然而,CAR-T疗法在实体瘤治疗中的应用仍然有限,目前尚无FDA批准的CAR-T产品可供临床使用。主要原因包括浸润不足、聚集不够、肿瘤微环境的免疫抑制以及相关副作用。单纯使用CAR-T无法有效克服这些不利障碍。实现更好的CAR-T治疗效果的一个可能有效途径是结合基于生物材料的技术优势。本文总结了在肿瘤部位突破CAR-T细胞治疗这些障碍的综合生物材料策略,包括以下几个方面:1)生成原位CAR-T细胞;2)促进CAR-T细胞运输;3)刺激CAR-T细胞扩增和浸润;4)提高CAR-T细胞活性和持久性;5)重编程免疫抑制微环境。此外,还深入讨论了该领域未来发展的要求,特别强调了促进创新和推动临床转化。
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