Subhi-Issa Nabil, Tovar Manzano Daniel, Pereiro Rodriguez Alejandro, Sanchez Ramon Silvia, Perez Segura Pedro, Ocaña Alberto
Department of Immunology, Hospital Clínico San Carlos, IdISSC, 28040 Madrid, Spain.
Department of Immunology, Ophthalmology, and ORL, School of Medicine, Complutense University, 28040 Madrid, Spain.
Cancers (Basel). 2025 Mar 21;17(7):1063. doi: 10.3390/cancers17071063.
Gamma delta (γδ) T cells are a unique subset of T lymphocytes with distinctive features that make them highly promising candidates for cancer therapy. Their MHC-independent recognition of tumor antigens, ability to mediate direct cytotoxicity, and role in modulating the tumor microenvironment position them as versatile agents in cancer immunotherapy. This review integrates and synthesizes the existing data on γδ T cells, with an emphasis on the development and optimization of in vitro expansion protocols. Critical aspects are detailed such as activation strategies, co-culture systems, cytokine use, and other parameters to ensure robust cell proliferation and functionality, which may be valuable for those developing or optimizing clinical practices. Finally, we discuss current advancements in γδ T cell research, clinical experience, and highlight areas needing further exploration. Considering these data, we hypothesize and propose potential new applications such as engineering γδ T cells for enhanced resistance to immune checkpoint pathways or for localized cytokine delivery within the tumor microenvironment, which could broaden their therapeutic impact in the treatment of cancer and beyond.
γδ T细胞是T淋巴细胞的一个独特亚群,具有显著特征,使其成为癌症治疗中极具潜力的候选者。它们对肿瘤抗原的非MHC依赖性识别、介导直接细胞毒性的能力以及在调节肿瘤微环境中的作用,使其在癌症免疫治疗中成为多功能因子。本综述整合并综合了关于γδ T细胞的现有数据,重点是体外扩增方案的开发和优化。详细阐述了关键方面,如激活策略、共培养系统、细胞因子的使用以及其他参数,以确保强大的细胞增殖和功能,这对于那些正在开发或优化临床实践的人可能是有价值的。最后,我们讨论了γδ T细胞研究的当前进展、临床经验,并突出了需要进一步探索的领域。考虑到这些数据,我们提出假设并提出潜在的新应用,如对γδ T细胞进行工程改造,以增强对免疫检查点途径的抗性或在肿瘤微环境中进行局部细胞因子递送,这可能会扩大它们在癌症治疗及其他方面的治疗影响。
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