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嵌合抗原受体(CAR)免疫细胞疗法在胃癌治疗中的新进展;重点介绍CAR-T和CAR-NK。

New approaches of chimeric antigen receptor (CAR)-immune cell-based therapy in gastric cancer; highlight CAR-T and CAR-NK.

作者信息

Jasim Saade Abdalkareem, Pallathadka Harikumar, Sivaprasad G V, Kumar Ashwani, Mustafa Yasser Fakri, Mohammed Jaafaru Sani, Eldesoqui Mamdouh, Pramanik Atreyi, Abdukarimovna Rakhimova Khusnidakhon, Zwamel Ahmed Hussein

机构信息

Medical Laboratory Techniques Department, College of Health and Medical Technology, University of Al-maarif, Anbar, Iraq.

Manipur International University, Imphal, Manipur, India.

出版信息

Funct Integr Genomics. 2025 Mar 25;25(1):72. doi: 10.1007/s10142-025-01584-3.

DOI:10.1007/s10142-025-01584-3
PMID:40133688
Abstract

One characteristic that makes gastric cancer (GC) against other cancers is the intricate immune system's reaction, particularly to tenacious inflammation. Consequently, the immunological function is essential to the growth of this malignancy. Tumor immunotherapy has yielded several encouraging outcomes, but despite this, different patients continue to not respond to treatment, and a far larger number become resistant to it. Also, activated CAR-T cells express a majority of immunological checkpoint factors, containing PD1, CTLA4, and LAG3, which counteracts the anti-tumor actions of CAR-T cells. Moreover, cytokine release syndrome is one of the possible adverse responses of CAR-T cell therapy. Therefore, producing universal allogeneic T lymphocytes with potent anti-tumor activity is essential. This study demonstrates current research on this cutting-edge technology, including the composition and mode of action of CAR-NK and CAR-T cells in GC. Also, in this study, we examined recent studies about various specific GC biomarkers that target CAR-T cells and CAR-NK cells.

摘要

胃癌(GC)与其他癌症相比的一个特点是复杂的免疫系统反应,尤其是对顽固炎症的反应。因此,免疫功能对这种恶性肿瘤的生长至关重要。肿瘤免疫疗法已经产生了一些令人鼓舞的结果,但尽管如此,不同的患者仍然对治疗没有反应,而且更多的患者对其产生耐药性。此外,活化的CAR-T细胞表达大多数免疫检查点因子,包括PD1、CTLA4和LAG3,这抵消了CAR-T细胞的抗肿瘤作用。此外,细胞因子释放综合征是CAR-T细胞疗法可能的不良反应之一。因此,产生具有强大抗肿瘤活性的通用异基因T淋巴细胞至关重要。本研究展示了对这项前沿技术的当前研究,包括CAR-NK和CAR-T细胞在GC中的组成和作用方式。此外,在本研究中,我们研究了关于靶向CAR-T细胞和CAR-NK细胞的各种特定GC生物标志物的近期研究。

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本文引用的文献

1
CAR-NK cells for gastrointestinal cancer immunotherapy: from bench to bedside.嵌合抗原受体自然杀伤细胞治疗胃肠道肿瘤免疫治疗:从基础到临床。
Mol Cancer. 2024 Oct 23;23(1):237. doi: 10.1186/s12943-024-02151-3.
2
CAR-NK cells for cancer immunotherapy: recent advances and future directions.嵌合抗原受体自然杀伤细胞在癌症免疫治疗中的应用:最新进展与未来方向。
Front Immunol. 2024 Feb 9;15:1361194. doi: 10.3389/fimmu.2024.1361194. eCollection 2024.
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Deciphering drug resistance in gastric cancer: Potential mechanisms and future perspectives.解析胃癌的耐药性:潜在机制与未来展望。
Biomed Pharmacother. 2024 Apr;173:116310. doi: 10.1016/j.biopha.2024.116310. Epub 2024 Feb 22.
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Trogocytosis of CAR molecule regulates CAR-T cell dysfunction and tumor antigen escape.CAR 分子的胞吞作用调节 CAR-T 细胞功能障碍和肿瘤抗原逃逸。
Signal Transduct Target Ther. 2023 Dec 25;8(1):457. doi: 10.1038/s41392-023-01708-w.
5
Engineering CAR-NK cell derived exosome disguised nano-bombs for enhanced HER2 positive breast cancer brain metastasis therapy.工程化 CAR-NK 细胞衍生外泌体伪装纳米炸弹增强 HER2 阳性乳腺癌脑转移治疗。
J Control Release. 2023 Nov;363:692-706. doi: 10.1016/j.jconrel.2023.10.007. Epub 2023 Oct 17.
6
Regulatory T cells in gastric cancer: Key controllers from pathogenesis to therapy.胃癌中的调节性 T 细胞:从发病机制到治疗的关键控制器。
Cancer Treat Rev. 2023 Nov;120:102629. doi: 10.1016/j.ctrv.2023.102629. Epub 2023 Sep 23.
7
Histone deacetylase-mediated tumor microenvironment characteristics and synergistic immunotherapy in gastric cancer.组蛋白去乙酰化酶介导的胃癌肿瘤微环境特征与协同免疫治疗。
Theranostics. 2023 Aug 18;13(13):4574-4600. doi: 10.7150/thno.86928. eCollection 2023.
8
Pleckstrin-2 promotes tumour immune escape from NK cells by activating the MT1-MMP-MICA signalling axis in gastric cancer.Pleckstrin-2 通过激活胃癌中的 MT1-MMP-MICA 信号轴促进肿瘤免疫逃避 NK 细胞。
Cancer Lett. 2023 Sep 28;572:216351. doi: 10.1016/j.canlet.2023.216351. Epub 2023 Aug 15.
9
MFSD2A potentiates gastric cancer response to anti-PD-1 immunotherapy by reprogramming the tumor microenvironment to activate T cell response.MFSD2A 通过重塑肿瘤微环境以激活 T 细胞应答,增强胃癌对抗 PD-1 免疫治疗的反应。
Cancer Commun (Lond). 2023 Oct;43(10):1097-1116. doi: 10.1002/cac2.12476. Epub 2023 Aug 4.
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