实体瘤的工程过继细胞治疗。

IF 3.5 4区 医学 Q2 ONCOLOGY
Maryam Sanjary, Ameneh Shokati, Mahshid Akhavan Rahnama, Sanaz Khaseb, Mohammad Ahmadvand
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引用次数: 0

摘要

适应性细胞疗法(ACT)已经成为一种很有前途的癌症免疫治疗方法,它使用工程免疫细胞来识别和破坏恶性细胞。尽管ACT在血液系统恶性肿瘤中取得了显著的成功,但由于免疫细胞浸润有限、抗原异质性和免疫抑制肿瘤微环境等独特挑战,其在实体肿瘤中的应用仍然有限。本文综述了目前增强ACT在实体瘤疗效的策略,重点是工程化T细胞,包括CAR-T、TCR-T和肿瘤浸润淋巴细胞(TILs)。我们讨论了癌症免疫治疗的最新进展,重点是肿瘤靶向,免疫抑制信号的抵抗,以及克服抗原逃逸的策略。此外,我们还强调了CRISPR/Cas9等基因编辑工具在设计具有增强功能和安全性的下一代免疫细胞中的作用。通过整合新的工程技术和系统生物学方法,ACT有可能成为实体瘤个性化癌症治疗的关键组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Engineering adoptive cell therapy for solid tumors.

Adaptive cell therapy (ACT) has emerged as a promising immunotherapeutic approach for cancer treatment by using engineered immune cells to recognize and destroy malignant cells. While ACT has shown remarkable success in hematologic malignancies, its application in solid tumors remains limited due to unique challenges such as limited immune cell infiltration, antigen heterogeneity, and the immunosuppressive tumor microenvironment. This review provides an overview of current strategies to enhance the efficacy of ACT in solid tumors, focusing on engineered T cells, including CAR-T, TCR-T, and tumor-infiltrating lymphocytes (TILs). We discuss recent progress in cancer immunotherapy, with a focus on tumor targeting, resistance to immunosuppressive signals, as well as strategies to overcome antigen escape. Moreover, we highlight the role of gene-editing tools such as CRISPR/Cas9 in designing next-generation immune cells with enhanced functionality and safety. By integrating novel engineering techniques and systems biology approaches, ACT holds the potential to become a key component of personalized cancer therapy for solid tumors.

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来源期刊
Medical Oncology
Medical Oncology 医学-肿瘤学
CiteScore
4.20
自引率
2.90%
发文量
259
审稿时长
1.4 months
期刊介绍: Medical Oncology (MO) communicates the results of clinical and experimental research in oncology and hematology, particularly experimental therapeutics within the fields of immunotherapy and chemotherapy. It also provides state-of-the-art reviews on clinical and experimental therapies. Topics covered include immunobiology, pathogenesis, and treatment of malignant tumors.
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