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改进CAR-T细胞有效性和安全性的设计策略

张昂 张斌 陈虎

中国肿瘤生物治疗杂志2017,Vol.24Issue(5):461-466,6.
中国肿瘤生物治疗杂志2017,Vol.24Issue(5):461-466,6.DOI:10.3872/j.issn.1007-385X.2017.05.001

改进CAR-T细胞有效性和安全性的设计策略

The design strategies for improving the efficacy and safety of CAR-T cells

张昂 1张斌 1陈虎1

作者信息

  • 1. 解放军第307医院造血干细胞移植科全军造血干细胞研究所,北京100071
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摘要

Abstract

The chimeric antigen receptor T cells (CAR-T cells) have entered to clinical trials from laboratories,which have achieved a remarkable effect in treatment of the B cell malignancy.But a lot of difficulties and challenges were still faced in the clinical researches on exploring treatment of the CAR-T cells for malignant tumors.It is difficult to find specific targets of the tumors and to overcome on-target off tumor effect.In the treatment of solid tumors,the CAR-T cells hard to reach the tumor positions and to improve their immunosuppressive microenvironment.When the CAR-T cells eliminate tumor cells,at the same time they also kill normal cells with the same target points.Efficacy of the CAR-T cells therapy for hematologic tumors and solid tumors except B cell tumors still needs to be improved.This paper focuses on that how the CAR-T cells could accurately identify tumor cells via optimization of the CAR-T cell structures and that effectiveness of the CAR-T cell therapy for malignant tumors could be enhanced through overcoming immunosuppressive microenvironment of tumors.At the same time,the CAR-T cells could be better controlled and safety of the CAR-T cells higher.

关键词

CAR-T细胞/设计策略/结构改造/有效性/安全性

Key words

CAR-T cell/design strategy/structural modification/effectiveness/safety

分类

医药卫生

引用本文复制引用

张昂,张斌,陈虎..改进CAR-T细胞有效性和安全性的设计策略[J].中国肿瘤生物治疗杂志,2017,24(5):461-466,6.

基金项目

首都临床特色应用研究与成果推广项目(No.Z161100000516184).Project supported by the Application Research and Achievement Promotion of Clinical Characteristics in the Capital City (No.Z161100000516184) (No.Z161100000516184)

中国肿瘤生物治疗杂志

OA北大核心CSCDCSTPCD

1007-385X

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