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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.


DOI:10.1007/s10238-024-01442-9
PMID:39105978
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11303469/
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/11303469/7589c69276b5/10238_2024_1442_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/92a88f816194/10238_2024_1442_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/2b13db9d94ab/10238_2024_1442_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/6bdc523c2d05/10238_2024_1442_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/df49ca9e48e1/10238_2024_1442_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/7011d9ccdebf/10238_2024_1442_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/7589c69276b5/10238_2024_1442_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/92a88f816194/10238_2024_1442_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/2b13db9d94ab/10238_2024_1442_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/6bdc523c2d05/10238_2024_1442_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/df49ca9e48e1/10238_2024_1442_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/7011d9ccdebf/10238_2024_1442_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0eca/11303469/7589c69276b5/10238_2024_1442_Fig6_HTML.jpg

相似文献

[1]
Enhancing CAR T cells function: role of immunomodulators in cancer immunotherapy.

Clin Exp Med. 2024-8-6

[2]
Unlocking the Potential of Immunomodulators as Synergistic Immune-Based Therapies in Cancer.

Discov Med. 2025-3

[3]
CRISPR/Cas9 and CAR-T cell, collaboration of two revolutionary technologies in cancer immunotherapy, an instruction for successful cancer treatment.

Hum Immunol. 2018-12

[4]
Chimeric Antigen Receptor T Cell Immunotherapy for Tumor: A Review of Patent Literatures.

Recent Pat Anticancer Drug Discov. 2019

[5]
Nanotechnology and immunoengineering: How nanotechnology can boost CAR-T therapy.

Acta Biomater. 2020-6

[6]
A Customizable Platform to Integrate CAR and Conditional Expression of Immunotherapeutics in T Cells.

Int J Mol Sci. 2024-9-30

[7]
Perspectives on Chimeric Antigen Receptor T-Cell Immunotherapy for Solid Tumors.

Front Immunol. 2018-5-22

[8]
Multi-antigen-targeted chimeric antigen receptor T cells for cancer therapy.

J Hematol Oncol. 2019-11-29

[9]
Immune Cell Hacking: Challenges and Clinical Approaches to Create Smarter Generations of Chimeric Antigen Receptor T Cells.

Front Immunol. 2018-7-31

[10]
Reshaping the tumor immune microenvironment to improve CAR-T cell-based cancer immunotherapy.

Mol Cancer. 2024-8-26

本文引用的文献

[1]
Rationally designed approaches to augment CAR-T therapy for solid tumor treatment.

Bioact Mater. 2023-11-26

[2]
Strategies for Reducing Toxicity and Enhancing Efficacy of Chimeric Antigen Receptor T Cell Therapy in Hematological Malignancies.

Int J Mol Sci. 2023-5-23

[3]
The current landscape of CAR T-cell therapy for solid tumors: Mechanisms, research progress, challenges, and counterstrategies.

Front Immunol. 2023

[4]
Metformin-containing hydrogel scaffold to augment CAR-T therapy against post-surgical solid tumors.

Biomaterials. 2023-4

[5]
Sunitinib resistance in renal cell carcinoma: From molecular mechanisms to predictive biomarkers.

Drug Resist Updat. 2023-3

[6]
Chimeric antigen receptor T-cell therapy in multiple myeloma: A comprehensive review of current data and implications for clinical practice.

CA Cancer J Clin. 2023

[7]
Efficacy, Safety, and Challenges of CAR T-Cells in the Treatment of Solid Tumors.

Cancers (Basel). 2022-12-3

[8]
Strategies to enhance CAR-T persistence.

Biomark Res. 2022-11-23

[9]
New insights into CAR T cell-mediated killing of tumor cells.

Front Immunol. 2022

[10]
CAR NK cell therapy in hematologic malignancies and solid tumors; obstacles and strategies to overcome the challenges.

Int Immunopharmacol. 2022-9

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