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引用次数: 0
摘要
在本文中,我们回顾了目前的文献研究,以及我们对影响嵌合抗原受体 T 细胞(CAR-T)活化、效应功能、体内持久性和抗肿瘤效果的参数的理解。这些因素包括 T 细胞亚群及其分化阶段、嵌合抗原受体(CAR)设计成分、表达启动子和传递载体以及 CAR-T 生产过程。此外,还对 CAR 信号和 CAR-T 激活进行了研究,并与 TCR 进行了比较。综述的最后一部分特别考虑了针对实体瘤的 CAR 设计,重点是改善 CAR-T 肿瘤浸润和在恶劣肿瘤微环境中存活的策略。目前全球正在进行数百项临床试验,CAR-T 免疫疗法从实验室走向临床的速度是前所未有的。我们希望这篇文章能让读者对这一快速发展的领域有一个清晰而全面的认识,并帮助科学家和医生设计出有效的CAR-T实体瘤免疫疗法。
Chimeric antigen receptor engineered T cells and their application in the immunotherapy of solid tumours.
In this article, we reviewed the current literature studies and our understanding of the parameters that affect the chimeric antigen receptor T cells (CAR-T's) activation, effector function, in vivo persistence, and antitumour effects. These factors include T cell subsets and their differentiation stages, the components of chimeric antigen receptors (CAR) design, the expression promoters and delivery vectors, and the CAR-T production process. The CAR signalling and CAR-T activation were also studied in comparison to TCR. The last section of the review gave special consideration of CAR design for solid tumours, focusing on strategies to improve CAR-T tumour infiltration and survival in the hostile tumour microenvironment. With several hundred clinical trials undergoing worldwide, the pace of CAR-T immunotherapy moves from bench to bedside is unprecedented. We hope that the article will provide readers a clear and comprehensive view of this rapidly evolving field and will help scientists and physician to design effective CAR-Ts immunotherapy for solid tumours.
期刊介绍:
Expert Reviews in Molecular Medicine is an innovative online journal featuring authoritative and timely Reviews covering gene therapy, immunotherapeutics, drug design, vaccines, genetic testing, pathogenesis, microbiology, genomics, molecular epidemiology and diagnostic techniques. We especially welcome reviews on translational aspects of molecular medicine, particularly those related to the application of new understanding of the molecular basis of disease to experimental medicine and clinical practice.