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基于嵌合抗原受体的自身免疫性疾病免疫治疗研究进展

Research progress on chimeric antigen receptor-based immunotherapy against autoimmune diseases.

作者信息

Jiang Mingwei, Zhao Jin, Yuan Jinguo, Yu Zixian, Liu Jie, Zhu Zhanxin, Ning Xiaoxuan, Sun Shiren

机构信息

Department of Nephrology, Xijing Hospital, The Fourth Military Medical University, Shaanxi Provincial Clinical Research Center for Kidney Diseases, Xi'an, Shaanxi, China.

Department of Nephrology and Blood Purification, General Hospital of Central Theater Command, Wuhan, China.

出版信息

Hum Vaccin Immunother. 2025 Dec;21(1):2538350. doi: 10.1080/21645515.2025.2538350. Epub 2025 Aug 1.

Abstract

Emerging as a paradigm-shifting therapeutic strategy initially developed for hematological malignancies, chimeric antigen receptor (CAR)-based cell therapy has recently proved transformative potential in autoimmune disease management. CAR T cell therapy has achieved long-term remission without drugs in a variety of autoimmune diseases. Chimeric autoantigen receptor T cell therapy targeting specific B cell receptors has transitioned from preclinical research to clinical trials. CAR natural killer cell therapy has shown promising efficacy and safety in early-stage clinical trials. The evolution of CAR regulatory T cell and mesenchymal stem cell therapy has also achieved initial results. These achievements have greatly inspired researchers, and more research is being actively carried out in the field of autoimmune diseases, aiming to develop more efficient, safe and convenient cell products. This article will detail the effectiveness and applicability of CAR-based immunotherapy in the management of autoimmune diseases, and explore its limitations and future trends.

摘要

嵌合抗原受体(CAR)细胞疗法最初是作为一种针对血液系统恶性肿瘤的范式转变治疗策略而出现的,最近已证明其在自身免疫性疾病管理方面具有变革潜力。CAR T细胞疗法已在多种自身免疫性疾病中实现了无药物的长期缓解。靶向特定B细胞受体的嵌合自身抗原受体T细胞疗法已从临床前研究过渡到临床试验。CAR自然杀伤细胞疗法在早期临床试验中显示出有前景的疗效和安全性。CAR调节性T细胞和间充质干细胞疗法的发展也取得了初步成果。这些成就极大地鼓舞了研究人员,并且在自身免疫性疾病领域正在积极开展更多研究,旨在开发更高效、安全和便捷的细胞产品。本文将详细阐述基于CAR的免疫疗法在自身免疫性疾病管理中的有效性和适用性,并探讨其局限性和未来趋势。

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