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Updated: Feb 5, 2026

Generation of Human Chimeric Antigen Receptor Regulatory T Cells
Published on: January 3, 2025
细胞因子工程化学抗原受体-T细胞疗法:如何平衡有效性和毒性
Xinru Zhang1,2,3, Gulizeba Aimaiti1,2,3, Yuanye Guan1,2,3
1Engineering Research Center of Cell & Therapeutic Antibody, Ministry of Education, and School of Pharmacy, Shanghai Jiao Tong University, Shanghai, China.
卡尔-T细胞疗法对固体瘤有希望,但面临着瘤微环境和细胞因子释放综合征 (CRS) 和神经毒性 (ICANS) 等毒性的挑战. 用细胞因子对CAR-T细胞进行工程设计和管理这些毒性的策略对于改善患者的治疗结果至关重要.
科学领域:
- 免疫治疗是一种免疫疗法.
- 在瘤学瘤学.
- 细胞疗法细胞疗法
背景情况:
- 卡特-T细胞疗法改变了血液癌症的治疗方法.
- 用CAR-T细胞治疗固体瘤受到免疫抑制瘤微环境 (ITME) 的限制.
- 细胞因子增强CAR-T细胞功能,但可能导致严重的毒性:细胞因子释放综合征 (CRS) 和免疫效应细胞相关的神经毒性综合征 (ICANS).
研究的目的:
- 审查CAR-T细胞激活和细胞毒性机制.
- 详细介绍了在ITME中CAR-T细胞所面临的障碍.
- 探索先进的CAR-T细胞设计,结合细胞因子和减轻CRS和ICANS的策略.
主要方法:
- 关于CAR-T细胞机制,ITME挑战,细胞因子工程和毒性管理的文献综述.
- 对实体瘤中CAR-T细胞治疗的临床前和临床数据的分析.
- 关于CAR-T细胞设计和毒性减轻的当前研究的综合.
主要成果:
- 卡特-T细胞表现出强大的抗瘤活性,但受到ITME的阻碍.
- 带有细胞因子的工程CAR-T细胞显示出临床前的希望,但增加了毒性风险.
- 了解CRS和ICANS病理生理学是制定有效管理策略的关键.
结论:
- 克服ITME障碍和管理CAR-T细胞相关毒性对于成功的固体瘤免疫疗法至关重要.
- 使用细胞因子进行先进的CAR-T细胞工程需要仔细评估风险和益处.
- 开发新的治疗方法和干预方法对于最大限度地提高患者的益处并最大限度地降低毒性至关重要.
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