摘要
近年来在肿瘤免疫治疗领域,嵌合抗原受体(CAR)修饰T细胞在基础研究和临床试验中取得了巨大进展。CAR由特异性单克隆抗体的可变区和CD3ζ结构域组成。CAR修饰T细胞的胞外区直接识别肿瘤相关抗原(TAA)。T细胞和靶抗原结合后可直接介导细胞毒性,并释放一些细胞因子如穿孔素、颗粒酶、干扰素-γ(IFN-γ)和肿瘤坏死因子-α(TNF-α),最终导致肿瘤细胞的坏死。尽管CAR-T细胞具有显著的抗肿瘤效应,一些基础研究和临床实验中观察到的安全性问题值得关注。
Recentyearshavewitnessedmuchprogressinbothbasicresearchandclinicaltrialsregar-ding cancer immunotherapy with chimeric antigen receptor (CAR)-engineered T cells.CAR combine the varia-ble regions of a specific monoclonal antibody (scFv)with the CD3ζendodomain.The extracellular domain of CAR-engineered T cells directly dock to the tumor-associated antigen (TAA).When T cells bind to target anti-gens,they mediated redirected cytotoxicity and secrete a series of cytokines such as Perforin,Granzyme,Inter-feron-γ(IFN-γ)and Tumor necrosis factor-α(TNF-α),which would eventually lead to the necrosis of tumor cells.Although the antitumor response of the CAR-engineered T cells is considered as successful and surpri-sing,it should be noted that some safety issues have been observed in other several basic researches and clinical trials.This overview focuses upon the utility and safety of the CAR-engineered T cells.
出处
《国际肿瘤学杂志》
CAS
2014年第7期495-499,共5页
Journal of International Oncology
关键词
肿瘤
免疫疗法
嵌合抗原受体
Neoplasms
Immunotherapy
Chimericantigenreceptor