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Tumor buster-where will the CAR-T cell therapy 'missile' go?

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机构: [1]Department of Neurosurgery, Xiangya Hospital, Central South University,Changsha, Hunan, China. [2]XiangYa School of Medicine, Central South University, Changsha, Hunan, China. [3]National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China. [4]Department of Neurosurgery, The Second Afliated Hospital, Chongqing Medical University,Chongqing, China. [5]Department of Psychiatry, The Second People’s Hospital of Hunan Province, The Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China. [6]The School of Clinical Medicine,Hunan University of Chinese Medicine, Changsha, Hunan, China. [7]Department of Oncology, Xiangya Hospital, Central South University, Changsha,Hunan, China. [8]One-third Lab, College of Bioinformatics Science and Technology, Harbin Medical University,Harbin, Heilongjiang, China. [9]Department of Oncology, Zhujiang Hospital, Southern Medical University, Guangzhou,Guangdong, China. [10]Department of Interventional Radiology, The First Afliated Hospital of Zhengzhou, Zhengzhou,Henan, China. [11]Department of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
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关键词: CAR-T cell Immunotherapy Target Cancer Personalized treatment

摘要:
Chimeric antigen receptor (CAR) T cell (CAR-T cell) therapy based on gene editing technology represents a significant breakthrough in personalized immunotherapy for human cancer. This strategy uses genetic modification to enable T cells to target tumor-specific antigens, attack specific cancer cells, and bypass tumor cell apoptosis avoidance mechanisms to some extent. This method has been extensively used to treat hematologic diseases, but the therapeutic effect in solid tumors is not ideal. Tumor antigen escape, treatment-related toxicity, and the immunosuppressive tumor microenvironment (TME) limit their use of it. Target selection is the most critical aspect in determining the prognosis of patients receiving this treatment. This review provides a comprehensive summary of all therapeutic targets used in the clinic or shown promising potential. We summarize CAR-T cell therapies' clinical trials, applications, research frontiers, and limitations in treating different cancers. We also explore coping strategies when encountering sub-optimal tumor-associated antigens (TAA) or TAA loss. Moreover, the importance of CAR-T cell therapy in cancer immunotherapy is emphasized.

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出版当年[2021]版:
大类 | 1 区 医学
小类 | 1 区 生化与分子生物学 1 区 肿瘤学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 生化与分子生物学 1 区 肿瘤学
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出版当年[2020]版:
Q1 ONCOLOGY Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
最新[2024]版:
Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Q1 ONCOLOGY

影响因子: 最新[2024版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Department of Neurosurgery, Xiangya Hospital, Central South University,Changsha, Hunan, China. [2]XiangYa School of Medicine, Central South University, Changsha, Hunan, China. [3]National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China.
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通讯机构: [1]Department of Neurosurgery, Xiangya Hospital, Central South University,Changsha, Hunan, China. [3]National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China.
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