Infectious Diseases Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Fundación Instituto de Investigación Sanitaria Aragón (IIS Aragón), Biomedical Research Centre of Aragon (CIBA), Zaragoza, Spain.
Front Immunol. 2024 Jan 30;15:1289303. doi: 10.3389/fimmu.2024.1289303. eCollection 2024.
Immunotherapy treatments aim to modulate the host's immune response to either mitigate it in inflammatory/autoimmune disease or enhance it against infection or cancer. Among different immunotherapies reaching clinical application during the last years, chimeric antigen receptor (CAR) immunotherapy has emerged as an effective treatment for cancer where different CAR T cells have already been approved. Yet their use against infectious diseases is an area still relatively poorly explored, albeit with tremendous potential for research and clinical application. Infectious diseases represent a global health challenge, with the escalating threat of antimicrobial resistance underscoring the need for alternative therapeutic approaches. This review aims to systematically evaluate the current applications of CAR immunotherapy in infectious diseases and discuss its potential for future applications. Notably, CAR cell therapies, initially developed for cancer treatment, are gaining recognition as potential remedies for infectious diseases. The review sheds light on significant progress in CAR T cell therapy directed at viral and opportunistic fungal infections.
免疫疗法旨在调节宿主的免疫反应,以减轻炎症/自身免疫性疾病中的免疫反应,或增强其对感染或癌症的免疫反应。在过去几年中,嵌合抗原受体 (CAR) 免疫疗法已成为癌症的有效治疗方法,已有多种 CAR T 细胞获得批准。然而,它们在传染病中的应用仍然是一个相对未得到充分探索的领域,尽管具有巨大的研究和临床应用潜力。传染病是全球健康挑战,抗菌药物耐药性的威胁日益加剧,凸显了需要替代治疗方法。本综述旨在系统评估 CAR 免疫疗法在传染病中的应用现状,并探讨其未来应用的潜力。值得注意的是,最初为癌症治疗开发的 CAR 细胞疗法正在被视为传染病的潜在治疗方法。本综述重点介绍了针对病毒和机会性真菌感染的 CAR T 细胞疗法的重要进展。