I-Pathogenesis kanye nokwelashwa kwezicubu ezivuthiwe ze-T

Yabelana ngalokhu okuthunyelwe

Izimila ze-T-cell ezikhulile, njenge-non-Hodgkin T-cell lymphoma, zihlasela kakhulu futhi azikwazi ukumelana nezidakamizwa, futhi iziguli zivame ukuba nokubikezela okubi. Muva nje, uchungechunge lwezihloko ezimbili ze-“Nature” lushicilele incazelo entsha ye-pathogenesis ye-non-Hodgkin's T-cell lymphoma, ngaleyo ndlela inikeze isiqondiso esisha sokuthuthukiswa okuphumelelayo kwezindlela zokwelapha ezintsha zalolu hlobo lwe-lymphoma eyingozi.

In the first study, the Wartewig team used the fusion protein ITK-SYK to construct a transgenic mouse model of late-onset T-cell lymphoma (Nature. Doi: 10.1038 / nature24649), and found that the single or double copy of the PDCD1 gene encoding the PD1 protein was deleted. T cell lymphoma undergoes rapid malignant transformation and accelerates the death of the mouse model. In addition, the application of PD1 or PD-L1 inhibitors can produce similar effects. The related mechanism is that PD1 up-regulates PTEN expression and inhibits the tumor malignant proliferation pathway PI3K.

In another article, Maciocia et al. Applied chimeric antigen receptor T cell immunotherapy (CAR-T) therapy (Nat Med. Doi: 10.1038 / nm.4444) to construct CAR-T cells that specifically target TRBC1 but not TRBC2 To treat TRBC1-positive T-cell carcinoma. While killing tumor cells, leaving enough T cells to fight infection. The clinical trial of this method will be officially launched in 2018.

Umhleli omkhulu wezemvelo u-Megan Cully uthe okutholakele okubalulekile okukhulunywe ngenhla kunikeza isu elisha lokwelashwa lokwelapha izifo ezibulalayo ze-T-cell ezivuthiwe futhi zixwayise ngokuthi lezi zicubu azifaneleki ukwelashwa nge-PD1 noma i-PDL1 inhibitors. 

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Ukuqonda I-Cytokine Release Syndrome: Izimbangela, Izimpawu, Nokwelashwa
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Iqhaza labezimo eziphuthumayo empumelelweni yokwelashwa kwe-CAR T Cell
Ukwelashwa kwe-CAR T-Cell

Iqhaza labezimo eziphuthumayo empumelelweni yokwelashwa kwe-CAR T Cell

Abezimo eziphuthumayo badlala indima ebalulekile empumelelweni yokwelashwa kwe-CAR T-cell ngokuqinisekisa ukunakekelwa kwesiguli okungenamthungo kuyo yonke inqubo yokwelashwa. Banikeza ukwesekwa okubalulekile ngesikhathi sokuthutha, ukuqapha izimpawu ezibalulekile zeziguli, nokuphatha ukungenelela kwezokwelapha eziphuthumayo uma izinkinga ziphakama. Ukusabela kwabo okusheshayo kanye nokunakekelwa kochwepheshe kunomthelela ekuphepheni okuphelele nasekusebenzeni ngempumelelo kokwelashwa, kusiza uguquko olushelelayo phakathi kwezilungiselelo zokunakekelwa kwezempilo kanye nokwenza ngcono imiphumela yesiguli endaweni eyinselele yezindlela zokwelapha ezithuthukisiwe zamaselula.

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