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增强 CAR T 细胞功能:免疫调节剂在癌症免疫治疗中的作用。

Enhancing CAR T cells function: role of immunomodulators in cancer immunotherapy.

机构信息

Molecular Virology Lab, Atta-Ur-Rahman School of Applied Biosciences, National University of Sciences and Technology, Islamabad, Pakistan.

Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.

出版信息

Clin Exp Med. 2024 Aug 6;24(1):180. doi: 10.1007/s10238-024-01442-9.

Abstract

CAR T-cell therapy is a promising immunotherapy, providing successful results for cancer patients who are unresponsive to standard and traditional therapeutic approaches. However, there are limiting factors which create a hurdle in the therapy performing its role optimally. CAR T cells get exhausted, produce active antitumor responses, and might even produce toxic reactions. Specifically, in the case of solid tumors, chimeric antigen receptor T (CAR-T) cells fail to produce the desired outcomes. Then, the need to use supplementary agents such as immune system modifying immunomodulatory agents comes into play. A series of the literature was studied to evaluate the role of immunomodulators including a phytochemical, Food and Drug Administration (FDA)-approved targeted drugs, and ILs in support of their achievements in boosting the efficiency of CAR-T cell therapy. Some of the most promising out of them are reported in this article. It is expected that by using the right combinations of immunotherapy, immunomodulators, and traditional cancer treatments, the best possible cancer defying results may be produced in the future.

摘要

嵌合抗原受体 T(CAR-T)细胞疗法是一种有前途的免疫疗法,为那些对标准和传统治疗方法无反应的癌症患者提供了成功的治疗效果。然而,存在一些限制因素,阻碍了该疗法的最佳效果发挥。CAR-T 细胞会衰竭,产生积极的抗肿瘤反应,甚至可能产生毒性反应。具体来说,在实体瘤的情况下,嵌合抗原受体 T(CAR-T)细胞无法产生预期的结果。因此,需要使用免疫调节剂等补充剂,如免疫系统修饰免疫调节剂。研究了一系列文献,以评估免疫调节剂的作用,包括一种植物化学物质、美国食品和药物管理局(FDA)批准的靶向药物和白细胞介素,以支持它们在提高 CAR-T 细胞疗法效率方面的作用。本文报道了其中一些最有前途的免疫调节剂。预计通过使用正确的免疫疗法、免疫调节剂和传统癌症治疗方法的组合,可以在未来产生最好的抗癌效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/92a88f816194/10238_2024_1442_Fig1_HTML.jpg

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