CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:CAR-T after Stem Cell Transplantation in B-Cell Lymphoproliferative Disorders: Are They Really Autologous or Allogenic Cell Therapies?
CAR-T after Stem Cell Transplantation in B-Cell Lymphoproliferative Disorders: Are They Really Autologous or Allogenic Cell Therapies?
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异基因造血干细胞移植(allo-HSCT)是B细胞淋巴增殖性疾病的标准治疗方法之一;然而,allo-HSCT后深度复发很常见,且与不良预后相关。克服这些复发的一种成功方法是利用嵌合抗原受体(CAR)T细胞调动人体自身免疫系统。这两种方法有可能联合用于治疗R/R B细胞淋巴增殖性疾病。多项临床试验描述了allo-HSCT与CAR-T 序贯联合的不同场景。此外,对于所有移植患者,嵌合体评估对于评价植入成功与否很重要。然而,对于既往接受过allo-HSCT的患者,在制备CAR-T 细胞之前没有进行嵌合体监测。在本综述中,我们聚焦于allo-HSCT和CAR-T 治疗以及用于制备CAR-T 细胞的不同T细胞来源。
Allogenic hematopoietic stem cell transplantation (allo-HSCT) is one of the standard treatments for B-cell lymphoproliferative disorders; however, deep relapses are common after an allo-HSCT, and it is associated with poor prognosis.
A successful approach to overcome these relapses is to exploit the body's own immune system with chimeric antigen receptor (CAR) T-cells. These two approaches are potentially combinatorial for treating R/R B-cell lymphoproliferative disorders. Several clinical trials have described different scenarios in which allo-HSCT and CAR-T are successively combined.
Further, for all transplanted patients, assessment of chimerism is important to evaluate the engraftment success. Nonetheless, for those patients who previously received an allo-HSCT there is no monitorization of chimerism before manufacturing CAR T-cells. In this review, we focus on allo-HSCT and CAR-T treatments and the different sources of T-cells for manufacturing CAR T-cells.
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