Essentials of CAR-T Therapy and Associated Microbial Challenges in Long Run Immunotherapy.

Muhammad Kalim, Rui Jing, Xin Li, Zhiwu Jiang, Ningbo Zheng, Ziyu Wang, Guo Wei, Yong Lu
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Abstract

Chimeric antigen receptor (CAR)-T cell therapy has shown potential in improving outcomes for individuals with hematological malignancies. However, achieving long-term full remission for blood cancer remains challenging due to severe life-threatening toxicities such as limited anti-tumor efficacy, antigen escape, trafficking restrictions, and limited tumor invasion. Furthermore, the interactions between CAR-T cells and their host tumor microenvironments have a significant impact on CAR-T function. To overcome these considerable hurdles, fresh methodologies and approaches are needed to produce more powerful CAR-T cells with greater anti-tumor activity and less toxicity. Despite advances in CAR-T research, microbial resistance remains a significant obstacle. In this review, we discuss and describe the basics of CAR-T structures, generations, challenges, and potential risks of infections in CAR-T cell therapy.

CAR-T 疗法要点及长期免疫疗法中的相关微生物挑战。
嵌合抗原受体(CAR)-T 细胞疗法已显示出改善血液恶性肿瘤患者预后的潜力。然而,由于存在严重的危及生命的毒性,如有限的抗肿瘤疗效、抗原逃逸、贩运限制和有限的肿瘤侵袭,实现血癌的长期完全缓解仍具有挑战性。此外,CAR-T 细胞与其宿主肿瘤微环境之间的相互作用对 CAR-T 的功能也有重大影响。为了克服这些巨大的障碍,我们需要新的方法和途径来生产出抗肿瘤活性更强、毒性更小的 CAR-T 细胞。尽管 CAR-T 研究取得了进展,但微生物抗药性仍是一个重大障碍。在这篇综述中,我们将讨论并介绍 CAR-T 结构、世代、挑战以及 CAR-T 细胞疗法中感染的潜在风险等基本知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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