使用体外模型的前景,以了解免疫疗法诱导的细胞因子释放综合征
Ethan Perkins1,2, Christopher Cooper2, Emma Lund2
1Institute of Cancer Therapeutics, University of Bradford, Bradford, United Kingdom.
Frontiers in immunology
|January 26, 2026
概括
新的体外模型,如先进的细胞因子释放试验 (CRAs),对于预测免疫相关的不良事件至关重要. 这些方法改善了药物安全性测试和临床毒性管理,如细胞因子释放综合征 (CRS).
科学领域:
- 免疫毒理学 免疫毒理学
- 药物开发 药物开发
- 在体外毒理学中
背景情况:
- TGN1412试验失败突出了使用临床前模型预测细胞因子释放综合征 (CRS) 的局限性.
- IMI2/EU免疫安全化身 (imSAVAR) 联盟成立,旨在开发评估免疫调节疗法安全性的工具.
- 不良结果途径 (AOP) 概念被用来理解和预测与免疫相关的不良影响.
研究的目的:
- 审查最近在体外细胞因子释放试验 (CRA) 模型中的进展.
- 讨论这些先进的CRA模型对非临床毒理学的影响,并了解与免疫相关的不良结果.
- 为安全评估选择适当的体外CRA模型提供指导.
主要方法:
- 对先进的CRA试验模型近期发展的审查.
- 在免疫安全测试中应用新方法方法 (NAMs) 的分析.
- 探索与免疫相关的不良影响的不良结果途径 (AOP) 框架.
主要成果:
- 先进的体外CRA模型正在迅速发展,为免疫安全提供了增强的预测能力.
- 这些模型对于危险识别和改善预测CRS等不良结果至关重要.
- 纳姆和AOP的整合正在改变免疫毒理学和非临床安全评估.
结论:
- 先进的体外CRA模型对于改善早期药物开发中的免疫相关不良事件的预测至关重要.
- 这些方法提高了对CRS等毒性的理解和管理.
- 提供了对模型选择的指导,以优化非临床毒理学和安全测试.
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