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结直肠癌;嵌合抗原受体(CAR)-T细胞的新方法

Colorectal Cancer; Novel Approaches in Chimeric Antigen Receptors (CAR) -T cell.

作者信息

Haki Mahyar, Darvishi Mohammad

机构信息

Biomedical Engineering Department, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran.

School of Aerospace and Subaquatic Medicine, Infectious Diseases Research Center, Beasat Hospital, AJA University of Medical Sciences, Tehran, Iran.

出版信息

Int J Mol Cell Med. 2025 Jul 1;14(2):777-792. doi: 10.22088/IJMCM.BUMS.14.2.777. eCollection 2025.

Abstract

Colorectal cancer (CRC) is a popular type of cancer, characterized by high mortality and a notable impression on the well-being of individuals. The success of adoptive chimeric antigen receptor T (CAR-T) cell therapy in treating hematological malignancies has been remarkable in recent years; however, its application in solid tumors like CRC has many challenges. These obstacles encompass the immunosuppressive microenvironment of the tumor, the insufficient targeting of CAR-T cells, the limited lifespan of CAR-T cells within the body, and the constrained capacity for proliferation. Additionally, CAR-T cells face hurdles in effectively infiltrating the tumor site, which further complicates treatment outcomes. Diverse innovative strategies have been suggested to surmount these barriers in the context of CRC. This comprehensive review endeavors to meticulously elucidate an exhaustive and detailed evaluation of the prevailing and contemporary landscape concerning CAR-T cell therapy as it pertains to the intricate management of CRC, while simultaneously offering a thorough indication of the various risk factors and the associated prevalence that are intricately linked with the manifestation and progression of CRC.

摘要

结直肠癌(CRC)是一种常见的癌症类型,其特点是死亡率高,对个体健康有显著影响。近年来,过继性嵌合抗原受体T(CAR-T)细胞疗法在治疗血液系统恶性肿瘤方面取得了显著成功;然而,其在CRC等实体瘤中的应用面临诸多挑战。这些障碍包括肿瘤的免疫抑制微环境、CAR-T细胞的靶向不足、CAR-T细胞在体内的寿命有限以及增殖能力受限。此外,CAR-T细胞在有效浸润肿瘤部位方面也面临障碍,这进一步使治疗结果复杂化。在CRC的背景下,已经提出了各种创新策略来克服这些障碍。本综述旨在详细阐述对CAR-T细胞疗法在CRC复杂管理方面的当前和现代情况进行全面而详尽的评估,同时全面指出与CRC的发生和发展密切相关的各种风险因素及其相关患病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ea/12321304/a5ae5f358b16/ijmcm-14-2-777-g001.jpg

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