Department of Hematology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Front Immunol. 2024 Apr 11;15:1378739. doi: 10.3389/fimmu.2024.1378739. eCollection 2024.
Chimeric antigen receptor (CAR) T cell therapy has transformed cancer immunotherapy. However, significant challenges limit its application beyond B cell-driven malignancies, including limited clinical efficacy, high toxicity, and complex autologous cell product manufacturing. Despite efforts to improve CAR T cell therapy outcomes, there is a growing interest in utilizing alternative immune cells to develop CAR cells. These immune cells offer several advantages, such as major histocompatibility complex (MHC)-independent function, tumor microenvironment (TME) modulation, and increased tissue infiltration capabilities. Currently, CAR products from various T cell subtypes, innate immune cells, hematopoietic progenitor cells, and even exosomes are being explored. These CAR products often show enhanced antitumor efficacy, diminished toxicity, and superior tumor penetration. With these benefits in mind, numerous clinical trials are underway to access the potential of these innovative CAR cells. This review aims to thoroughly examine the advantages, challenges, and existing insights on these new CAR products in cancer treatment.
嵌合抗原受体 (CAR) T 细胞疗法已经改变了癌症免疫疗法。然而,一些显著的挑战限制了其在 B 细胞驱动的恶性肿瘤以外的应用,包括有限的临床疗效、高毒性和复杂的自体细胞产品制造。尽管人们努力提高 CAR T 细胞治疗的效果,但人们越来越感兴趣地利用替代免疫细胞来开发 CAR 细胞。这些免疫细胞具有许多优势,例如 MHC 非依赖性功能、肿瘤微环境 (TME) 调节以及增加组织浸润能力。目前,正在探索来自各种 T 细胞亚群、先天免疫细胞、造血祖细胞甚至外泌体的 CAR 产品。这些 CAR 产品通常表现出增强的抗肿瘤疗效、降低的毒性和更好的肿瘤穿透性。考虑到这些好处,正在进行许多临床试验以评估这些创新的 CAR 细胞的潜力。本综述旨在全面研究这些新型 CAR 产品在癌症治疗中的优势、挑战和现有见解。
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