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嵌合抗原受体T细胞疗法用于内分泌癌的潜力。

The potential of chimeric antigen receptor -T cell therapy for endocrine cancer.

作者信息

Yu Ruonan, Ji Xiaoyu, Zhang Ping, Zhang Hao, Qu Huiling, Dong Wenwu

机构信息

Department of Thyroid Surgery, The First Hospital of China Medical University, No. 155 Nanjing North Street, Shenyang, Liaoning, 110001, China.

Department of Neurology, The General Hospital of Northern Theater Command, 83 Wen Hua Road, Shenyang, Liaoning, 110840, China.

出版信息

World J Surg Oncol. 2025 Apr 22;23(1):153. doi: 10.1186/s12957-025-03745-x.

DOI:10.1186/s12957-025-03745-x
PMID:40264184
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12012980/
Abstract

Endocrine cancer, a relatively rare and heterogeneous tumor with diverse clinical features. The facile synthesis of hormones further complicates endocrine cancer treatment. Thus, the development of safe and effective systemic treatment approaches, such as chimeric antigen receptor (CAR) T cell therapy, is imperative to enhance the prognosis of patients with endocrine cancer. Although this therapy has achieved good results in the treatment of hematological malignancies, it encounters diverse complications and challenges in the context of endocrine cancer. This review delineates the generation of CAR-T cells, examines the potential of CAR-T cell therapy for endocrine cancer, enumerates pivotal antigens linked to endocrine cancer, encapsulates the challenges confronted with CAR-T cell therapy for endocrine cancer, and expounds upon strategies to overcome these limitations. The primary objective is to provide insightful perspectives that can contribute to the advancement of CAR-T cell therapy in the field of endocrine cancer.

摘要

内分泌癌是一种相对罕见且异质性的肿瘤,具有多样的临床特征。激素的易合成性进一步使内分泌癌的治疗复杂化。因此,开发安全有效的全身治疗方法,如嵌合抗原受体(CAR)T细胞疗法,对于提高内分泌癌患者的预后至关重要。尽管这种疗法在血液系统恶性肿瘤的治疗中取得了良好效果,但在内分泌癌的背景下,它面临着各种并发症和挑战。本综述阐述了CAR-T细胞的产生,研究了CAR-T细胞疗法治疗内分泌癌的潜力,列举了与内分泌癌相关的关键抗原,概括了CAR-T细胞疗法治疗内分泌癌所面临的挑战,并阐述了克服这些局限性的策略。主要目的是提供有见地的观点,以促进CAR-T细胞疗法在内分泌癌领域的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b5/12012980/32bd85492af6/12957_2025_3745_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b5/12012980/352e746326dc/12957_2025_3745_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b5/12012980/92592e7e091b/12957_2025_3745_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b5/12012980/32bd85492af6/12957_2025_3745_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b5/12012980/352e746326dc/12957_2025_3745_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b5/12012980/42924859c2da/12957_2025_3745_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b5/12012980/f94b8249b261/12957_2025_3745_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b5/12012980/92592e7e091b/12957_2025_3745_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b5/12012980/32bd85492af6/12957_2025_3745_Fig5_HTML.jpg

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本文引用的文献

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CD200 is overexpressed in the pancreatic tumor microenvironment and predictive of overall survival.CD200在胰腺肿瘤微环境中过表达,且可预测总生存期。
Cancer Immunol Immunother. 2024 Apr 15;73(6):96. doi: 10.1007/s00262-024-03678-6.
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Cooperative CAR targeting to selectively eliminate AML and minimize escape.协同 CAR 靶向治疗以选择性消除 AML 并最小化逃逸。
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克服同种异体 CAR-T 细胞治疗瓶颈的策略。
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The IgG4 hinge with CD28 transmembrane domain improves VH-based CAR T cells targeting a membrane-distal epitope of GPC1 in pancreatic cancer.IgG4 铰链与 CD28 跨膜结构域可改善针对胰腺癌中 GPC1 膜远端表位的基于 VH 的 CAR T 细胞。
Nat Commun. 2023 Apr 8;14(1):1986. doi: 10.1038/s41467-023-37616-4.
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CAR-T Cells in the Treatment of Ovarian Cancer: A Promising Cell Therapy.嵌合抗原受体 T 细胞治疗卵巢癌:一种有前途的细胞疗法。
Biomolecules. 2023 Mar 2;13(3):465. doi: 10.3390/biom13030465.
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Induced pluripotent stem cell-derived engineered T cells, natural killer cells, macrophages, and dendritic cells in immunotherapy.诱导多能干细胞衍生的工程 T 细胞、自然杀伤细胞、巨噬细胞和树突状细胞在免疫治疗中的应用。
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Construction of CAR-T cells targeting TM4SF1 and its anti-tumor capacity in ovarian cancer.构建靶向 TM4SF1 的 CAR-T 细胞及其在卵巢癌中的抗肿瘤能力。
Immunol Lett. 2023 Mar;255:1-9. doi: 10.1016/j.imlet.2023.01.011. Epub 2023 Feb 3.
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Optimization of the proliferation and persistency of CAR T cells derived from human induced pluripotent stem cells.优化源自人诱导多能干细胞的嵌合抗原受体 T 细胞的增殖和持久性。
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