{"title":"体内嵌合抗原受体- t细胞疗法的发展和临床翻译。","authors":"H Mei, L M Su","doi":"10.3760/cma.j.cn112137-20250812-02057","DOIUrl":null,"url":null,"abstract":"<p><p>Chimeric antigen receptor-Tcell (CAR-T) therapy has achieved remarkable efficacy, however, the complex process and high treatment costs largely limit the clinical application of conventional CAR-T therapy. With the advancement of biotechnology, in vivo CAR-T therapy is steadily moving from the laboratory into the clinical practice. This thesis systematically synthesizes the delivery vehicles for in vivo CAR-T therapy, including viral vector system [lentiviral vectors, adeno-associated virus (AAV) vectors] and non-viral vector system [polymeric nanoparticles, lipid nanoparticles (LNP), and other delivery vectors]. Meanwhile, focusing on the design strategies and clinical trials, it summarizes clinical practices of in vivo CAR-T therapy at home and abroad, and discuss the existing challenges and future prospects in combination with the latest data, aiming to facilitate its development and clinical translation in China.</p>","PeriodicalId":24023,"journal":{"name":"Zhonghua yi xue za zhi","volume":"105 ","pages":"1-6"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Development and clinical translation of in vivo chimeric antigen receptor-T cell therapy].\",\"authors\":\"H Mei, L M Su\",\"doi\":\"10.3760/cma.j.cn112137-20250812-02057\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Chimeric antigen receptor-Tcell (CAR-T) therapy has achieved remarkable efficacy, however, the complex process and high treatment costs largely limit the clinical application of conventional CAR-T therapy. With the advancement of biotechnology, in vivo CAR-T therapy is steadily moving from the laboratory into the clinical practice. This thesis systematically synthesizes the delivery vehicles for in vivo CAR-T therapy, including viral vector system [lentiviral vectors, adeno-associated virus (AAV) vectors] and non-viral vector system [polymeric nanoparticles, lipid nanoparticles (LNP), and other delivery vectors]. Meanwhile, focusing on the design strategies and clinical trials, it summarizes clinical practices of in vivo CAR-T therapy at home and abroad, and discuss the existing challenges and future prospects in combination with the latest data, aiming to facilitate its development and clinical translation in China.</p>\",\"PeriodicalId\":24023,\"journal\":{\"name\":\"Zhonghua yi xue za zhi\",\"volume\":\"105 \",\"pages\":\"1-6\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zhonghua yi xue za zhi\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/cma.j.cn112137-20250812-02057\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhonghua yi xue za zhi","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/cma.j.cn112137-20250812-02057","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
[Development and clinical translation of in vivo chimeric antigen receptor-T cell therapy].
Chimeric antigen receptor-Tcell (CAR-T) therapy has achieved remarkable efficacy, however, the complex process and high treatment costs largely limit the clinical application of conventional CAR-T therapy. With the advancement of biotechnology, in vivo CAR-T therapy is steadily moving from the laboratory into the clinical practice. This thesis systematically synthesizes the delivery vehicles for in vivo CAR-T therapy, including viral vector system [lentiviral vectors, adeno-associated virus (AAV) vectors] and non-viral vector system [polymeric nanoparticles, lipid nanoparticles (LNP), and other delivery vectors]. Meanwhile, focusing on the design strategies and clinical trials, it summarizes clinical practices of in vivo CAR-T therapy at home and abroad, and discuss the existing challenges and future prospects in combination with the latest data, aiming to facilitate its development and clinical translation in China.