首页|肿瘤免疫疗法中细胞来源对治疗效果的影响

肿瘤免疫疗法中细胞来源对治疗效果的影响

The impact of immune cells selection on the therapeutic efficacy of CAR-T cell therapy

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从免疫细胞层面总结了各种新型嵌合抗原受体T细胞(CAR-T细胞)疗法,健康年轻受试者的T细胞、干性记忆样T细胞、人体诱导多能干细胞、脐带血T细胞来源的CAR-T细胞疗法可增强肿瘤杀伤效应.从通用型CAR细胞方面,病毒特异性T细胞、γδT细胞、iNKT细胞、巨噬细胞等能有效减轻移植物抗宿主病反应.此外,增强去白细胞过程中单核细胞的清除、保持CD4+/CD8+T细胞均衡比例等策略也是增强CAR-T细胞扩增及杀伤效力的方法.细胞耗竭标志物高表达的T细胞对CAR-T细胞的转导、扩增及发挥杀伤效力等会产生负向影响,使用免疫检查点阻断剂等方式抑制T细胞耗竭能提高CAR-T细胞作用效应.
Here we summarized novel Chimeric antigen receptor T-cell immunotherapy(CAR-T)based on the immune material aspect.Young healthy donor T cells,stem cell-like memory T cells,human induced pluripotent stem cells and umbilical cord blood T cells are all potential candidates to enhance CAR-T cell therapy depending on their anti-tumor efficacy.Besides,due to less restricted major histocom-patibility complex(MHC)mismatch effect,viral specific T cells,γδT cells,invariant natural killer T cells and macrophages also become idealized T cell sources in terms of Universal CAR-T(UCAR-T)cell thera-peutics.In addition,studies demonstrated that more balanced CD4+/CD8+T cell ratio and eliminating monocytes during leukapheresis have a positive influence on CAR-T cell functioning,whereas T cells with higher exhaustion markers expression hampers anti-tumor ability of CAR-T cells after infusion.To avoid application of such T cells or mitigate the impact using immune checkpoint inhibitors is of great impor-tance.

齐文昕、张伟龙、景红梅

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北京大学第三医院血液科,北京 100191

2024

中华血液学杂志
中华医学会

中华血液学杂志

CSTPCD北大核心
影响因子:1.17
ISSN:0253-2727
年,卷(期):2024.45(7)