T cell senescence and CAR-T cell exhaustion in hematological malignancies.

T cell senescence and CAR-T cell exhaustion in hematological malignancies.
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血液恶性肿瘤中的 T 细胞衰老和 CAR-T 细胞耗竭

DOI:
10.1186/s13045-018-0629-x
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发表时间:
2018-07-04
影响因子:
28.5
通讯作者:
Li Y
Li Y
中科院分区:
医学1区
文献类型:
--
作者:
Kasakovski D;Xu L;Li Y

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T细胞衰老已被认为在衰老的人群和癌症患者中起免疫抑制作用。需要用于预防或逆转复制和过早的T细胞衰老的策略以增加人类的寿命并降低癌症的发病率。此外,克服淋巴瘤和白血病患者衰老的T细胞末端分化或衰老是提高过养细胞免疫疗法(ACT)有效性的一种有前途的方法。嵌合抗原受体T(CAR-T)细胞和T细胞受体工程T(TCR-T)细胞疗法高度依赖于功能活性的T细胞。但是,驱动T细胞衰老的机制仍然不清楚和有争议。在这篇综述中,我们描述了从与年龄相关的衰老以及血液恶性肿瘤中T细胞激活恢复T细胞稳态的最新进展。
T cell senescence has been recognized to play an immunosuppressive role in the aging population and cancer patients. Strategies dedicated to preventing or reversing replicative and premature T cell senescence are required to increase the lifespan of human beings and to reduce the morbidity from cancer. In addition, overcoming the T cell terminal differentiation or senescence from lymphoma and leukemia patients is a promising approach to enhance the effectiveness of adoptive cellular immunotherapy (ACT). Chimeric antigen receptor T (CAR-T) cell and T cell receptor-engineered T (TCR-T) cell therapy highly rely on functionally active T cells. However, the mechanisms which drive T cell senescence remain unclear and controversial. In this review, we describe recent progress for restoration of T cell homeostasis from age-related senescence as well as recovery of T cell activation in hematological malignancies.
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