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Revolutionising cancer intervention: the repercussions of CAR-T cell therapy on modern oncology practices | Medical Oncology
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Chimeric Antigen Receptor T-cell (CAR-T) therapy represents a groundbreaking advance in oncology, leveraging patient-specific immune cells to target malignant tumours precisely. By equipping T cells with synthetic receptors, CAR-T therapy achieves remarkable antitumor effects and offers hope for durable cancer control. However, several limitations persist, including antigen scarcity, immunosuppressive tumour microenvironments, and T-cell exhaustion. CRISPR-Cas9 gene editing has enhanced CAR-T potency by knocking out immune checkpoints (PD-1, CTLA-4) and improving persistence, while RNA interference (RNAi) silences immune-evasion genes (e.g. SOCS1). Nanozyme-based delivery systems enable precise CRISPR-Cas9 delivery (>â70% editing efficiency) and tumour targeting, overcoming instability and off-target effects. Innovations like SUPRA CARs, armoured CAR-T cells (e.g. IL-12/IL-21-secreting TRUCKs), and dual checkpoint inhibition synergize to reprogram the tumour microenvironment, reducing relapse by 40% in trials. Despite progress, high costs, manufacturing hurdles, and ethical concerns (e.g. germline editing risks) remain critical barriers. Emerging solutions include universal off-the-shelf CAR-Ts, hybrid nano-CRISPR systems, and AI-driven design, paving the way for scalable, personalised immunotherapy. This review highlights breakthroughs in CRISPR, RNAi, and nanotechnology, underscoring CAR-T therapyâs transformative potential while addressing translational challenges for broader clinical adoption.
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pubmed, google, scholar, cas, cancer, central, cells, cell, cart, therapy, car, zhang, crisprcas, wang, article, chimeric, antigen, tumor, liu, tcell, editing, immunotherapy, sci, res, receptor, targeting, nat, clinical, mol, tumors, oncol, immunol, chen, yang, med, tang, gene, phase, solid, human, nature, oncology, rev, clin, genome, data, research, antitumor, tumour, delivery,
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activating hif-1Îą/β-catenin/vegf signaling microhomology-mediated end-joining-dependent integration crispr/cas9-mediated genome engineering genome-scale crispr-cas9 knockout high-fidelity crisprâcas9 nucleases kte-c19 anti-cd19 car cas9-mediated gene disruption crispr/cas9-mediated knockout crispr/cas9-mediated mutagenesis crispr-cas9 gene editing crispr-cas9 genome editing crispr/cas9 genome editing hybrid nano-crispr systems najeeb ullah khan chimeric antigen receptorâmodified chimeric antigen receptor-modified il-12/il-21-secreting trucks t-cell antigen receptor neo-antigen-based immunotherapy caf-mediated emt regulation il-21/il-21r regulates dendritic cell-derived osteopontin mesothelin-positive solid tumors double-strand breaks induced rna-guided cas9 nucleases crispr-cas9 disruption revolutionising cancer intervention adoptively transferred antigen-specific month download article/chapter triple-negative breast cancer car-t-cell therapy cell anti-tumor immunity crispr-engineered car19 universal germ-line gene therapy anti-solid tumor efficacy large b-cell lymphoma myxoma virus-infected car silences immune-evasion genes promotes therapeutic resistance dual checkpoint inhibition synergize drug-loaded nanoprobes improve mol therapy-nucleic acids therapy crispr-cas9 chimeric antigen receptor chimeric antigen receptor modern oncology practices generation cd19-specific car crispr/cas9 application crisprâcas9 leads emerging solutions include universal
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- The challenges of medical ethics in China: are gene-edited babies enough?
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headline:Revolutionising cancer intervention: the repercussions of CAR-T cell therapy on modern oncology practices
description:Chimeric Antigen Receptor T-cell (CAR-T) therapy represents a groundbreaking advance in oncology, leveraging patient-specific immune cells to target malignant tumours precisely. By equipping T cells with synthetic receptors, CAR-T therapy achieves remarkable antitumor effects and offers hope for durable cancer control. However, several limitations persist, including antigen scarcity, immunosuppressive tumour microenvironments, and T-cell exhaustion. CRISPR-Cas9 gene editing has enhanced CAR-T potency by knocking out immune checkpoints (PD-1, CTLA-4) and improving persistence, while RNA interference (RNAi) silences immune-evasion genes (e.g. SOCS1). Nanozyme-based delivery systems enable precise CRISPR-Cas9 delivery (>â70% editing efficiency) and tumour targeting, overcoming instability and off-target effects. Innovations like SUPRA CARs, armoured CAR-T cells (e.g. IL-12/IL-21-secreting TRUCKs), and dual checkpoint inhibition synergize to reprogram the tumour microenvironment, reducing relapse by 40% in trials. Despite progress, high costs, manufacturing hurdles, and ethical concerns (e.g. germline editing risks) remain critical barriers. Emerging solutions include universal off-the-shelf CAR-Ts, hybrid nano-CRISPR systems, and AI-driven design, paving the way for scalable, personalised immunotherapy. This review highlights breakthroughs in CRISPR, RNAi, and nanotechnology, underscoring CAR-T therapyâs transformative potential while addressing translational challenges for broader clinical adoption.
datePublished:2025-05-31T00:00:00Z
dateModified:2025-05-31T00:00:00Z
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CAR-T therapy
CRISPR-Cas9 in oncology
Cancer immunotherapy
Tumour microenvironment
Genetic engineering
Nanozymes in cancer
Oncology
Hematology
Pathology
Internal Medicine
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description:Chimeric Antigen Receptor T-cell (CAR-T) therapy represents a groundbreaking advance in oncology, leveraging patient-specific immune cells to target malignant tumours precisely. By equipping T cells with synthetic receptors, CAR-T therapy achieves remarkable antitumor effects and offers hope for durable cancer control. However, several limitations persist, including antigen scarcity, immunosuppressive tumour microenvironments, and T-cell exhaustion. CRISPR-Cas9 gene editing has enhanced CAR-T potency by knocking out immune checkpoints (PD-1, CTLA-4) and improving persistence, while RNA interference (RNAi) silences immune-evasion genes (e.g. SOCS1). Nanozyme-based delivery systems enable precise CRISPR-Cas9 delivery (>â70% editing efficiency) and tumour targeting, overcoming instability and off-target effects. Innovations like SUPRA CARs, armoured CAR-T cells (e.g. IL-12/IL-21-secreting TRUCKs), and dual checkpoint inhibition synergize to reprogram the tumour microenvironment, reducing relapse by 40% in trials. Despite progress, high costs, manufacturing hurdles, and ethical concerns (e.g. germline editing risks) remain critical barriers. Emerging solutions include universal off-the-shelf CAR-Ts, hybrid nano-CRISPR systems, and AI-driven design, paving the way for scalable, personalised immunotherapy. This review highlights breakthroughs in CRISPR, RNAi, and nanotechnology, underscoring CAR-T therapyâs transformative potential while addressing translational challenges for broader clinical adoption.
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CRISPR-Cas9 in oncology
Cancer immunotherapy
Tumour microenvironment
Genetic engineering
Nanozymes in cancer
Oncology
Hematology
Pathology
Internal Medicine
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