实用医学杂志 ›› 2022, Vol. 38 ›› Issue (21): 2643-2648.doi: 10.3969/j.issn.1006⁃5725.2022.21.003

• 临床新进展 • 上一篇    下一篇

嵌合抗原受体T细胞疗法联合免疫调节剂治疗实体瘤研究进展

董佳艺 陈斯泽 邵丽娟 宋明瀚   

  1. 广东药科大学附属第一医院肿瘤科(广州510000)
  • 出版日期:2022-11-10 发布日期:2022-11-10
  • 通讯作者: 陈斯泽 E⁃mail:chensize@gdpu.edu.cn
  • 基金资助:
    广东省科技厅项目(编号:2020A0505100058);广东省教育厅普通高校重点科研项目(编号:2019KZDXM024);广东省药品监督管理局项目(编号:2022TDZ19)

Research progress of CAR⁃T combined immunomodulator in the treatment of solid tumors

DONG Jiayi, CHEN Size,SHAO Lijuan,SONG Minghan.   

  1. Department of Oncology,the First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou 510000,China

  • Online:2022-11-10 Published:2022-11-10
  • Contact: CHEN Size E⁃mail:chensize@gdpu.edu.cn

摘要:

嵌合抗原受体(chimeric antigen receptor,CAR)T 细胞疗法是肿瘤领域的新型免疫疗法,由于 实体肿瘤免疫抑制微环境及抗原表达的异质性,CAR⁃T 治疗实体瘤面临许多挑战。越来越多的证据表 明,CAR⁃T 细胞联合治疗可显著改善预后,具有良好前景。但 CAR⁃T 细胞联合免疫调节剂的真实特性和 机制尚不清楚,本文就 CAR⁃T 细胞联合免疫调节剂在实体肿瘤的现状和研究进展进行综述,讨论了其联 合策略关键基本原理,总结了现有研究并讨论了免疫检查点抑制剂、干扰素基因刺激物激动剂、来那度胺 联合 CAR⁃T 细胞治疗实体瘤的潜在作用及未来的前景和挑战,旨在探索这种可提高疗效的联合治疗方法 让更多的癌症患者获益。

关键词:

CAR?T 细胞, 肿瘤免疫, 联合治疗, 免疫调节剂, 免疫检查点抑制剂

Abstract:

Chimeric antigen receptor(CAR)T cell therapy is a new immunotherapy in the field of tumors. Due to the immunosuppressive microenvironment and antigen expression of solid tumors,CAR⁃T treatment in solid tumors faces many challenges. Increasing evidences indicated that treatment with CAR ⁃T cells could significantly improve the prognosis and thus promising. However,the real characteristics and mechanism of CAR ⁃T cell com⁃ bined immunomodulators are not clear. This paper reviews the current situation and research progress of CAR ⁃ T cell combined immune modulators in solid tumors. We discuss the key principles of the combination strategy,sum⁃ marize the existing preclinical and clinical studies,and discuss the immune checkpoint inhibitors,interferon gene stimulating agonists,lenalidomide combined with CAR⁃T cells,and future prospects and challenges,aiming at exploring the benefit of more cancer patients.

Key words:

CAR ? T cells, tumor immunity, combined therapy, immunomodulators, immune checkpoint inhibitors