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嵌合抗原受体T细胞(CAR-T)疗法:开创自身免疫性疾病治疗的新时代。

CAR-T therapy: pioneering a new era in the treatment of autoimmune diseases.

作者信息

Wu Yuanhao, Han Luyao, Wang Yu, Gu Mengjiao, Wang Yunuo, Gao Jingyue, Huang Hanjing, Li Chen

机构信息

Department of Rheumatology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China.

Department of Dermatology, Tianjin Institute of Integrative Dermatology, Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin, China.

出版信息

Front Immunol. 2025 Aug 13;16:1625166. doi: 10.3389/fimmu.2025.1625166. eCollection 2025.

Abstract

CAR-T therapy, an innovative immunotherapeutic approach, genetically modifies T cells to express CARs, enabling targeted destruction of specific antigen-expressing cells. Initially developed for oncology, CAR-T therapy has shown significant potential in treating autoimmune diseases. By targeting CD19+ B cells, CAR-T therapy has demonstrated rapid and sustained remission in refractory cases, with studies showing normalized laboratory parameters and reduced disease activity. At the same time, CAR-NK, CAAR-T and CAR-Treg technologies further broaden therapeutic strategies. However, some adverse effects also exist, including CRS, ICANS and so on. Despite these challenges, CAR therapy represents a promising advancement in autoimmune disease treatment, with ongoing research aimed at enhancing efficacy, durability, and safety. Continuous innovation is essential to address limitations and optimize therapeutic outcomes.

摘要

嵌合抗原受体T细胞(CAR-T)疗法是一种创新的免疫治疗方法,它通过基因改造T细胞来表达嵌合抗原受体(CAR),从而实现对特定表达抗原细胞的靶向破坏。CAR-T疗法最初是为肿瘤学开发的,现已显示出在治疗自身免疫性疾病方面的巨大潜力。通过靶向CD19+ B细胞,CAR-T疗法在难治性病例中已显示出快速且持续的缓解效果,研究表明实验室参数恢复正常,疾病活动度降低。同时,CAR-NK、CAAR-T和CAR-Treg技术进一步拓宽了治疗策略。然而,也存在一些不良反应,包括细胞因子释放综合征(CRS)、免疫效应细胞相关神经毒性综合征(ICANS)等。尽管存在这些挑战,CAR疗法仍是自身免疫性疾病治疗中一项有前景的进展,目前正在进行的研究旨在提高疗效、持久性和安全性。持续创新对于克服局限性和优化治疗效果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0735/12380546/a29732a02f7d/fimmu-16-1625166-g001.jpg

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