Advances in Universal CAR-T Cell Therapy.

Advances in Universal CAR-T Cell Therapy.
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通用 CAR-T 细胞疗法的进展

DOI:
10.3389/fimmu.2021.744823
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发表时间:
2021
影响因子:
7.3
通讯作者:
Zhu L
Zhu L
中科院分区:
医学2区
文献类型:
--
作者:
Lin H;Cheng J;Mu W;Zhou J;Zhu L

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嵌合抗原受体T(CAR-T)细胞疗法在抗肿瘤治疗中取得了非凡的成果,特别是针对血液恶性肿瘤,具有显着的长期抗肿瘤效果,具有更高的靶点特异性。然而,自体CAR-T细胞疗法仍然存在一些局限性,例如成本高、生产周期长、细胞来源有限等。通用 CAR-T (UCAR-T) 细胞疗法的开发是一个有吸引力的突破点,可以克服大部分缺点。在此,我们回顾了CAR-T细胞疗法的进展和挑战,特别重点对UCAR-T细胞疗法与原始CAR-T细胞疗法进行了全面比较。此外,我们总结了 UCAR-T 细胞疗法的安全性和有效性的进展和担忧。最后,我们讨论了其他免疫细胞,它们可能是 UCAR-T 细胞的补充的有希望的候选者。通过详细的概述,我们描述了 UCAR-T 细胞治疗的现状并探讨了前景。
Chimeric antigen receptor T (CAR-T) cell therapy achieved extraordinary achievements results in antitumor treatments, especially against hematological malignancies, where it leads to remarkable, long-term antineoplastic effects with higher target specificity. Nevertheless, some limitations persist in autologous CAR-T cell therapy, such as high costs, long manufacturing periods, and restricted cell sources. The development of a universal CAR-T (UCAR-T) cell therapy is an attractive breakthrough point that may overcome most of these drawbacks. Here, we review the progress and challenges in CAR-T cell therapy, especially focusing on comprehensive comparison in UCAR-T cell therapy to original CAR-T cell therapy. Furthermore, we summarize the developments and concerns about the safety and efficiency of UCAR-T cell therapy. Finally, we address other immune cells, which might be promising candidates as a complement for UCAR-T cells. Through a detailed overview, we describe the current landscape and explore the prospect of UCAR-T cell therapy.
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