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肿瘤浸润淋巴细胞疗法的临床试验现状与展望

Current status and perspectives of clinical trials for tumor-infiltrating lymphocyte therapy.

作者信息

Zhang Yunting, Fu Hongye, Zhao Qiong

机构信息

Zhejiang Chinese Medical University, Hangzhou, 310053, People's Republic of China.

Department of Thoracic Oncology, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou, 310022, People's Republic of China.

出版信息

Clin Transl Oncol. 2025 Feb;27(2):466-472. doi: 10.1007/s12094-024-03608-z. Epub 2024 Jul 30.

Abstract

Immunotherapies, mainly immune checkpoint inhibitors (ICIs), have revolutionized cancer treatment strategies over the past decade, but their limitations have limited clinical applications. Tumor-infiltrating lymphocyte (TIL) therapy is a type of adoptive cell therapy (ACT), which collects infiltrating lymphocytes at the tumor site and expands them in vitro to obtain TIL final products cloned by various T-cell receptors, subsequently reinfused TIL into the patient, which is effective for the treatment of solid tumors. The approval of Lifileucel for commercialization marks the success of TIL therapy. This review summarizes the current status of clinical trials of TIL treatment. In addition, it is suggested that the current research trend of TIL should focus on improving the survival time of TIL in vivo, reducing drug toxicity, and searching for prognostic markers. Finally, it is expected that TIL therapy can be applied to a more wide range of clinical treatments.

摘要

免疫疗法,主要是免疫检查点抑制剂(ICIs),在过去十年中彻底改变了癌症治疗策略,但其局限性限制了临床应用。肿瘤浸润淋巴细胞(TIL)疗法是一种过继性细胞疗法(ACT),它在肿瘤部位收集浸润淋巴细胞并在体外进行扩增,以获得由各种T细胞受体克隆的TIL终产品,随后将TIL重新注入患者体内,对实体瘤治疗有效。Lifileucel获批商业化标志着TIL疗法的成功。本综述总结了TIL治疗的临床试验现状。此外,建议TIL目前的研究趋势应集中在提高TIL在体内的存活时间、降低药物毒性以及寻找预后标志物。最后,期望TIL疗法能够应用于更广泛的临床治疗。

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