涉及干性因素以改善基于CAR T细胞的癌症免疫疗法
Sara Abdalrazzaq M Noraldeen1, Irodakhon Rasulova2, Repudi Lalitha3
1Department of Oncology and Metabolism, University of Tabuk, Tabuk, Saudi Arabia.
Medical oncology (Northwood, London, England)
|October 1, 2023
概括
化学抗原受体 (CAR) T细胞疗法通过向癌症干细胞 (CSC) 和克服免疫抑制性瘤微环境 (TME) 显示出对固体瘤的承诺. 在CAR T细胞工程和组合疗法方面的创新是提高疗效的关键.
科学领域:
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
- 生物技术是生物技术.
背景情况:
- 化学抗原受体 (CAR) T细胞疗法在血液性恶性瘤中取得了成功,但在固体瘤中面临挑战.
- 固体瘤存在障碍,包括免疫抑制瘤微环境 (TME),抗原逃避和有限的瘤透.
- 癌症干细胞 (CSCs) 导致瘤复发和抵抗,进一步复杂化了CAR T细胞治疗.
研究的目的:
- 审查在固体瘤中使用CAR T细胞治疗的挑战和机会.
- 探索通过向癌症干细胞 (CSCs) 来提高CAR T细胞疗效的策略.
- 讨论CAR T细胞工程和结合治疗固体瘤的创新.
主要方法:
- 关于CAR T细胞治疗,瘤微环境 (TME) 和癌症干细胞 (CSCs) 的当前文献的综述.
- 分析最近在CAR T细胞生产和工程方面的进展.
- 探索组合治疗策略,包括基于型病毒的治疗.
主要成果:
- 在固体瘤中,免疫抑制性TME和CSC显著阻碍了CAR T细胞治疗的疗效.
- 准CSC和修改TME对于改善CAR T细胞功能至关重要.
- 新型CAR T细胞工程方法和组合疗法显示出增强体内疗效的潜力.
结论:
- 克服TME介导的抑制和向CSC对于在固体瘤中成功使用CAR T细胞治疗至关重要.
- 汽车T细胞平台和战略组合的进步提供了有前途的解决方案.
- 未来的研究应该专注于创新的工程和组合策略,以恢复CAR T细胞治疗固体瘤.
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