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肾脏病与透析肾移植杂志

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嵌合抗原受体T细胞免疫治疗在自身免疫病的研究进展

  

  • 出版日期:2019-12-28 发布日期:2020-01-19

Research progress of chimeric antigen receptor Tcell therapy in autoimmune diseases

  • Online:2019-12-28 Published:2020-01-19

摘要:

嵌合抗原受体T细胞(CART)免疫治疗是一种新型的细胞免疫疗法,其主要通过基因编辑技术使T细胞表达嵌合抗原受体(CAR)从而特异性识别并杀伤表达相应抗原的靶细胞进而治疗疾病。该疗法在急性B淋巴母细胞白血病等血液系统肿瘤中已取得较好的临床疗效,但其在系统性红斑狼疮等自身免疫病中的应用尚处于临床前研究的初步阶段。本文主要就CART治疗的免疫机制、其在自身免疫病中的研究进展进行综述,以期为自身免疫病的临床治疗提供新思路。
 

关键词: 嵌合抗原受体T细胞, 细胞免疫治疗, 自身免疫病

Abstract:

Chimeric antigen receptor Tcell  (CART) therapy is a new kind of cellular immunotherapy,which can force T cells to express chimeric antigen receptor by gene editing technology,so as to specifically recognize and kill target cells expressing corresponding antigens and then treat diseases.This therapy has achieved good clinical effect in Bcell acute lymphoblastic leukemia and other hematological tumors,but its application in autoimmune diseases such as systemic lupus erythematosus is still in the early stage of preclinical research.This article mainly reviews the immune mechanism of CART therapy and its research progress in autoimmune diseases,in order to provide new ideas for the clinical treatment of autoimmune diseases.