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以 CAR-T 细胞清除慢性淋巴细胞白血病

英文原题:Driving Out Chronic Lymphocytic Leukemia With CAR T Cells.

查看英文原题

Driving Out Chronic Lymphocytic Leukemia With CAR T Cells.

PubMed 2021/10/14(内容时间) Transplant Cell Ther Q1 · IF 4.7(JCR 2025)

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中文摘要

慢性淋巴细胞白血病(CLL)是西半球最常见的一种白血病。近年来,新型靶向治疗药物的问世,即布鲁顿酪氨酸激酶抑制剂、磷酸肌醇3激酶抑制剂和BCL-2抑制剂,彻底改变了CLL的治疗方案,但尚未实现治愈。免疫肿瘤学和T细胞工程领域的进展将嵌合抗原受体(CAR)T细胞疗法从实验室带入临床,用于治疗B细胞淋巴系统恶性肿瘤,并改善了多种类型复发和/或难治性B细胞淋巴瘤的疾病缓解和生存结局。尽管目前尚无获批用于CLL的CAR-T 细胞疗法,在本综合综述中,我们探讨了CLL中CAR-T 细胞治疗的新靶点,并重点介绍了迄今为止已报道的CAR-T 细胞试验的有希望的结果。此外,我们还展望了未来的发展方向,包括针对该疾病的多靶点CAR-T 细胞产品。

展开英文摘要原文

Chronic lymphocytic leukemia (CLL) is the most prevalent leukemia in the Western hemisphere. The recent availability of novel targeted therapies, namely Bruton's tyrosine kinase, phosphoinositide-3 kinase, and BCL-2 inhibitors, have revolutionized the treatment algorithm for CLL but have not yet resulted in cure.

Advances in the field of immuno-oncology and T cell engineering brought chimeric antigen receptor (CAR) T cell therapy from the laboratory to the clinic for treatment of B cell lymphoid malignancies and has improved the disease response and survival outcomes of various types of relapsed and/or refractory B cell lymphomas.

While acknowledging that there are no approved CAR T cell therapies for CLL at this time, in this comprehensive review we explore novel targets for CAR T cell therapy in CLL and highlight the promising results of CAR T cell trials reported to date.

Furthermore, we shed light on future areas of development, including multitarget CAR T cell products for this disease.

论文信息

作者
Kharfan-Dabaja MA、Yassine F、Gadd ME、Qin H
单位
Division of Hematology-Oncology and Blood and Marrow Transplantation and Cellular Therapy Program, Mayo Clinic, Jacksonville, Florida. Electronic address: KharfanDabaja.Mohamed@mayo.edu.United States
文献类型
综述
期刊
Transplantation and cellular therapy2022 Jan
原文标识
PubMed 34656807 · DOI 10.1016/j.jtct.2021.10.005