Adoptive cellular immunotherapy for solid neoplasms beyond CAR-T. (針對固體腫瘤的移植細胞免疫療法超越了CAR-T。)
Adoptive cellular immunotherapy for solid neoplasms beyond CAR-T.
发表日期:2023 Feb 07
作者:
Qiaofei Liu, Jiayi Li, Huaijin Zheng, Sen Yang, Yuze Hua, Nan Huang, Jorg Kleeff, Quan Liao, Wenming Wu
来源:
Molecular Cancer
摘要:
近几十年来,免疫检查点阻滞和嵌合抗原受体T细胞(CAR-T)疗法是临床免疫治疗领域的两个里程碑式的成就。然而,二者在大多数实体肿瘤中显示出有限的疗效,这就需要探索新的免疫治疗模式。在几种实体肿瘤中,CAR-T和免疫检查点阻滞的失败归因于多种因素,包括肿瘤细胞抗原性低、效应T细胞浸润少和肿瘤微环境中的多样化免疫抑制机制等。新的细胞治疗法已尝试用于实体肿瘤,包括TCR-T、CAR-自然杀伤细胞(CAR-NK)和CAR-巨噬细胞(CAR-M)。与CAR-T相比,这些新的细胞治疗法在治疗实体肿瘤方面具有某些优势。在本综述中,我们总结了细胞治疗法的40年演变历程,然后关注TCR-T、CAR-NK和CAR-M在实体肿瘤中的进展,并讨论它们的潜在临床应用。 ©2023.作者。
In recent decades, immune checkpoint blockade and chimeric antigen receptor T cell (CAR-T) therapy are two milestone achievements in clinical immunotherapy. However, both show limited efficacies in most solid neoplasms, which necessitates the exploration of new immunotherapeutic modalities. The failure of CAR-T and immune checkpoint blockade in several solid neoplasms is attributed to multiple factors, including low antigenicity of tumor cells, low infiltration of effector T cells, and diverse mechanisms of immunosuppression in the tumor microenvironment. New adoptive cell therapies have been attempted for solid neoplasms, including TCR-T, CAR-natural killer cells (CAR-NK), and CAR-macrophages (CAR-M). Compared to CAR-T, these new adoptive cell therapies have certain advantages in treating solid neoplasms. In this review, we summarized the 40-year evolution of adoptive cell therapies, then focused on the advances of TCR-T, CAR-NK, and CAR-M in solid neoplasms and discussed their potential clinical applications.© 2023. The Author(s).