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嵌合抗原受体自然杀伤细胞疗法治疗血液系统恶性肿瘤的研究进展。

Advances in CAR-NK cell therapy for hematological malignancies.

机构信息

Department of Hematology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Xi'an Key Laboratory of Hematological Diseases, Xi'an, Shaanxi, China.

出版信息

Front Immunol. 2024 Jun 28;15:1414264. doi: 10.3389/fimmu.2024.1414264. eCollection 2024.

Abstract

Chimeric antigen receptor T (CAR-T) cell therapy has revolutionized the treatment of hematological malignancies, demonstrably improving patient outcomes and prognosis. However, its application has introduced new challenges, such as safety concerns, off-target toxicities, and significant costs. Natural killer (NK) cells are crucial components of the innate immune system, capable of eliminating tumor cells without prior exposure to specific antigens or pre-activation. This inherent advantage complements the limitations of T cells, making CAR-NK cell therapy a promising avenue for hematological tumor immunotherapy. In recent years, preclinical and clinical studies have yielded preliminary evidence supporting the safety and efficacy of CAR-NK cell therapy in hematological malignancies, paving the way for future advancements in immunotherapy. This review aims to succinctly discuss the characteristics, significant therapeutic progress, and potential challenges associated with CAR-NK cell therapy.

摘要

嵌合抗原受体 T(CAR-T)细胞疗法彻底改变了血液系统恶性肿瘤的治疗方法,显著改善了患者的预后。然而,其应用带来了新的挑战,如安全性问题、脱靶毒性和高昂的成本。自然杀伤(NK)细胞是先天免疫系统的关键组成部分,能够在不预先暴露于特定抗原或预先激活的情况下消除肿瘤细胞。这种固有优势弥补了 T 细胞的局限性,使 CAR-NK 细胞疗法成为血液系统肿瘤免疫治疗的一个有前途的途径。近年来,临床前和临床研究提供了初步证据,支持 CAR-NK 细胞疗法在血液系统恶性肿瘤中的安全性和有效性,为免疫治疗的未来发展铺平了道路。本综述旨在简要讨论 CAR-NK 细胞疗法的特点、重大治疗进展和潜在挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6f/11239349/40ad0a2c0c4b/fimmu-15-1414264-g001.jpg

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