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免疫平衡
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别急着让诺奖“治病”:调节性T细胞离药还远
Hu Xiu· 2025-10-09 12:35
Core Insights - The 2025 Nobel Prize in Physiology or Medicine was awarded for the discovery of regulatory T cells, which play a crucial role in immunology and have potential applications in treating diseases like cancer and autoimmune disorders [1][5][13] - Despite the excitement surrounding this discovery, there are currently no approved drugs on the market that are based on regulatory T cells [3][4] - The timeline for potential therapies utilizing regulatory T cells is uncertain, with estimates suggesting it could take up to 20 years for effective treatments to emerge [5][16] Industry Trends - Several biotechnology companies founded by the Nobel laureates are focused on developing therapies that target regulatory T cells, but their products are still in early research stages [6] - The overall outlook for cell therapies, aside from CAR-T, is not optimistic, with some companies, like Takeda, halting their investments in cell therapy [7][8] - The advancements in cancer and autoimmune disease treatments over the past 30 years have largely not involved regulatory T cells, with significant breakthroughs coming from other areas of immunology [10][11] Research and Development Challenges - The journey from scientific discovery to practical application is lengthy, and the complexity of diseases may limit the effectiveness of therapies targeting regulatory T cells [16][18] - Potential safety concerns and manufacturing challenges could hinder the development of drugs based on regulatory T cells, as altering their function may lead to severe adverse reactions [18]
协和专家:什么是好的免疫力?
Hu Xiu· 2025-08-29 08:31
Core Viewpoint - The discussion emphasizes the importance of understanding autoimmune diseases, particularly lupus and antiphospholipid syndrome, and highlights advancements in treatment options, including cell therapy, which can significantly improve patients' quality of life and reproductive outcomes [1][30][36]. Group 1: Autoimmune Diseases Overview - There are over a hundred types of autoimmune diseases, affecting a significant population, yet awareness remains low [3]. - Common autoimmune diseases include lupus, antiphospholipid syndrome, and arthritis, with a notable prevalence among women [4][14]. - Patients often form support groups to share experiences and encourage each other, especially regarding expensive treatments [4][18]. Group 2: Patient Experience and Treatment - The role of physicians extends beyond treatment; they provide emotional support and guidance to help patients navigate their conditions [7][10]. - Many patients initially experience anxiety and uncertainty about their conditions, but with ongoing care, they often become more at ease [7][12]. - The importance of accurate diagnosis and treatment plans is emphasized, particularly in managing conditions like antiphospholipid syndrome, which can significantly impact pregnancy outcomes [16][23]. Group 3: Advances in Treatment - Cell therapy shows promise in treating autoimmune diseases by specifically targeting B cells, potentially leading to long-term remission [30][33]. - New biological agents, particularly monoclonal antibodies, are emerging as effective treatments for lupus and other autoimmune conditions [35]. - The success rate for lupus patients achieving healthy pregnancies has improved significantly, with over 80% of children born to lupus patients being healthy [28][36]. Group 4: Misconceptions and Patient Education - There is a tendency for patients to self-diagnose with conditions like antiphospholipid syndrome due to its treatable nature, which can lead to over-treatment and misinformation [21][22]. - The need for standardized antibody testing across different regions is highlighted to ensure accurate diagnosis and treatment [24]. - Patients are encouraged to maintain a balanced lifestyle and not to overly focus on their autoimmune conditions, as this can lead to unnecessary anxiety [50][53].