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胸部恶性肿瘤的过继性细胞疗法:综述

Adoptive cell therapies in thoracic malignancies: a comprehensive review.

作者信息

Garitaonaindia Yago, Martínez-Cutillas Marta, Uribarren Maria, Redondo Isabel, Calvo Virginia, Serna-Blasco Roberto, Provencio Mariano

机构信息

Medical Oncology Department, Puerta de Hierro University Hospital, C/ Manuel de Falla, 1, 28222, Majadahonda, Madrid, Spain.

Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Puerta De Hierro University Hospital, Majadahonda, Madrid, Spain.

出版信息

Clin Transl Oncol. 2025 Jan 9. doi: 10.1007/s12094-024-03834-5.

DOI:10.1007/s12094-024-03834-5
PMID:39789380
Abstract

This review aims to summarize recent studies and findings within adoptive cell therapies, including tumor-infiltrating lymphocytes, genetically engineered T cell receptors, and chimeric antigen receptor T cells, in the treatment of thoracic malignancies, including non-small cell lung cancer, small cell lung cancer, and malignant pleural mesothelioma. Several trials are ongoing, and a few have reported results, suggesting that adoptive cell therapies may represent a potential treatment option for these patients, especially when checkpoint inhibition has failed. We also discuss the potential implementation of these therapies, as they present a new toxicity profile and an intrinsic financial burden. Despite the challenges to overcome, such as the accurate identification of antigens and developing strategies to improve efficacy and toxicity profiles, new cellular therapies are experiencing significant development in the field of thoracic malignancies.

摘要

本综述旨在总结过继性细胞疗法(包括肿瘤浸润淋巴细胞、基因工程化T细胞受体和嵌合抗原受体T细胞)在治疗胸部恶性肿瘤(包括非小细胞肺癌、小细胞肺癌和恶性胸膜间皮瘤)方面的最新研究和发现。多项试验正在进行中,有几项已经报告了结果,表明过继性细胞疗法可能是这些患者的一种潜在治疗选择,尤其是在检查点抑制治疗失败时。我们还讨论了这些疗法的潜在应用,因为它们呈现出一种新的毒性特征和内在的经济负担。尽管存在需要克服的挑战,如准确识别抗原以及制定提高疗效和毒性特征的策略,但新的细胞疗法在胸部恶性肿瘤领域正经历着显著的发展。

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Adoptive cell therapies in thoracic malignancies: a comprehensive review.胸部恶性肿瘤的过继性细胞疗法:综述
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本文引用的文献

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How 'miracle' weight-loss drugs will change the world.“神奇”减肥药将如何改变世界。
Nature. 2024 Nov;635(8037):22-24. doi: 10.1038/d41586-024-03589-7.
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Lifileucel, an Autologous Tumor-Infiltrating Lymphocyte Monotherapy, in Patients with Advanced Non-Small Cell Lung Cancer Resistant to Immune Checkpoint Inhibitors.乐唯利他(一种自体肿瘤浸润淋巴细胞单药疗法)治疗免疫检查点抑制剂耐药的晚期非小细胞肺癌患者。
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Cost-effectiveness of treating advanced melanoma with tumor-infiltrating lymphocytes based on an international randomized phase 3 clinical trial.
基于一项国际随机 3 期临床试验评估肿瘤浸润淋巴细胞治疗晚期黑色素瘤的成本效果。
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Cost of implementing CAR-T activity and managing CAR-T patients: an exploratory study.实施嵌合抗原受体 T 细胞(CAR-T)疗法活动和管理 CAR-T 患者的成本:一项探索性研究。
BMC Health Serv Res. 2024 Jan 22;24(1):121. doi: 10.1186/s12913-023-10443-5.
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Core Needle Biopsies as an Alternative Source for Ex Vivo Expanded TIL for Adoptive Cell Therapy in Triple-Negative Breast Cancer.核心针活检作为三阴性乳腺癌过继细胞治疗中体外扩增 TIL 的替代来源。
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Novel Therapeutic Options for Small Cell Lung Cancer.小细胞肺癌的新型治疗选择。
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Tandem CAR-T cells targeting MUC1 and PSCA combined with anti-PD-1 antibody exhibit potent preclinical activity against non-small cell lung cancer.靶向MUC1和PSCA的串联嵌合抗原受体T细胞(Tandem CAR-T cells)联合抗程序性死亡蛋白1(PD-1)抗体对非小细胞肺癌显示出强大的临床前活性。
Cell Immunol. 2023 Sep-Oct;391-392:104760. doi: 10.1016/j.cellimm.2023.104760. Epub 2023 Aug 29.
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Cellular Therapy in NSCLC: Between Myth and Reality.非小细胞肺癌中的细胞疗法:介于神话与现实之间
Curr Oncol Rep. 2023 Oct;25(10):1161-1174. doi: 10.1007/s11912-023-01443-z. Epub 2023 Aug 30.
9
Cellular Therapy for Lung Cancer: Focusing on Chimeric Antigen Receptor T (CAR T) Cells and Tumor-Infiltrating Lymphocyte (TIL) Therapy.肺癌的细胞疗法:聚焦嵌合抗原受体T(CAR T)细胞和肿瘤浸润淋巴细胞(TIL)疗法。
Cancers (Basel). 2023 Jul 23;15(14):3733. doi: 10.3390/cancers15143733.
10
Chimeric Antigen Receptor (CAR) T-Cell Therapy for Patients with Lung Cancer: Current Perspectives.嵌合抗原受体(CAR)T细胞疗法治疗肺癌患者:当前观点
Onco Targets Ther. 2023 Jul 3;16:515-532. doi: 10.2147/OTT.S341179. eCollection 2023.