Current Advances and Challenges in CAR-T Therapy for Hematological and Solid Tumors.

IF 4.4 Q1 IMMUNOLOGY
ImmunoTargets and Therapy Pub Date : 2025-06-27 eCollection Date: 2025-01-01 DOI:10.2147/ITT.S519616
Gengtian Zhang, Mengyao Bai, Hanzhi Du, Yue Yuan, Yidan Wang, Weijing Fan, Huachao Zhu, Di Wu, Pengcheng He, Busheng Xue
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引用次数: 0

Abstract

Introduction: Chimeric antigen receptor (CAR) T-cell therapy has revolutionized the treatment of refractory hematological malignancies, yet significant challenges persist in extending its success to solid tumors. This review aims to provide a comprehensive overview of the current landscape and future perspectives of CAR-T therapy in both hematological malignancies and solid tumors.

Methods: A thorough literature search was conducted to identify relevant preclinical and clinical studies, as well as review articles, focusing on CAR-T therapy in various hematological malignancies and solid tumors. The collected information was synthesized to discuss the current applications, challenges, and strategies for improving CAR-T therapy in these settings.

Results: CAR-T therapy has demonstrated impressive clinical outcomes in treating certain hematological malignancies, such as B-cell lymphoma, leukemia, and multiple myeloma. However, the efficacy of CAR-T cells in solid tumors has been limited due to various obstacles, including tumor heterogeneity, immunosuppressive microenvironment, and off-tumor toxicities. Strategies to overcome these challenges involve advanced CAR designs, combination therapies, and novel approaches to CAR-T cell manufacturing and engineering.

Conclusion: While CAR-T therapy has revolutionized the treatment of some hematological malignancies, significant hurdles remain in extending its success to solid tumors. Continued research efforts focusing on improving CAR-T cell efficacy, safety, and accessibility will be crucial in unlocking the full potential of this innovative immunotherapeutic approach across a broad spectrum of cancer types.

CAR-T治疗血液病和实体瘤的最新进展和挑战。
嵌合抗原受体(CAR) t细胞疗法已经彻底改变了难治性血液系统恶性肿瘤的治疗,但在将其成功扩展到实体肿瘤方面仍然存在重大挑战。本文综述了CAR-T治疗血液恶性肿瘤和实体肿瘤的现状和未来前景。方法:通过全面的文献检索,找出相关的临床前和临床研究,以及综述文章,重点关注CAR-T治疗各种血液系统恶性肿瘤和实体肿瘤。将收集到的信息进行综合,讨论当前CAR-T疗法在这些环境中的应用、挑战和改进策略。结果:CAR-T疗法在治疗某些血液系统恶性肿瘤(如b细胞淋巴瘤、白血病和多发性骨髓瘤)方面显示出令人印象深刻的临床效果。然而,由于各种障碍,包括肿瘤异质性、免疫抑制微环境和肿瘤外毒性,CAR-T细胞在实体瘤中的疗效受到限制。克服这些挑战的策略包括先进的CAR- t设计、联合疗法以及CAR- t细胞制造和工程的新方法。结论:虽然CAR-T疗法已经彻底改变了一些血液系统恶性肿瘤的治疗,但在将其成功扩展到实体肿瘤方面仍存在重大障碍。继续致力于提高CAR-T细胞的有效性、安全性和可及性的研究,对于释放这种创新的免疫治疗方法在广泛癌症类型中的全部潜力至关重要。
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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来源期刊
CiteScore
16.50
自引率
0.00%
发文量
7
审稿时长
16 weeks
期刊介绍: Immuno Targets and Therapy is an international, peer-reviewed open access journal focusing on the immunological basis of diseases, potential targets for immune based therapy and treatment protocols employed to improve patient management. Basic immunology and physiology of the immune system in health, and disease will be also covered.In addition, the journal will focus on the impact of management programs and new therapeutic agents and protocols on patient perspectives such as quality of life, adherence and satisfaction.
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