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CAR 疗法之争:CAR-NK 细胞对抗 B 细胞血液肿瘤

英文原题:The Race of CAR Therapies: CAR-NK Cells for Fighting B-Cell Hematological Cancers.

PubMed 2021/10/28(内容时间) Cancers (Basel) Q2 · IF 4.8(JCR 2025)

研究概要

诸如化疗等标准疗法仅对 40% 的成人 ALL 患者有效并达到五年生存率,因此需要采用新的替代方案,例如靶向恶性细胞特定受体的免疫治疗。

中文摘要

急性淋巴细胞白血病(ALL)和慢性淋巴细胞白血病(CLL)分别是儿童和老年人最常见的白血病。标准疗法如化疗,在成人ALL患者中仅有40%能达到五年生存,因此需要采用新方案,例如靶向恶性细胞特定受体的免疫疗法。在所有治疗选择中,CAR(嵌合抗原受体)疗法已成为复发或难治性血液系统癌症患者的新机遇。CAR最初设计为与T淋巴细胞结合形成CAR-T细胞,其结果令人鼓舞,现已作为药物投入使用。然而,CAR-T细胞的副作用,以及无法在不引起移植物抗宿主病的情况下输注异基因CAR-T产品,促使研究者寻找其他细胞来源来解决这些问题,例如自然杀伤(NK)细胞。虽然CAR治疗是一场由CAR-T细胞领跑的高速竞赛,CAR-NK细胞也正逐步(但稳步地)巩固其地位;其已显示的疗效及缺乏不良副作用,为CAR治疗打开了新的大门。CAR-NK如今已成为这一领域的重要组成部分。

展开英文摘要原文

Acute lymphoblastic leukemia (ALL) and Chronic lymphocytic leukemia (CLL) are the most common leukemias in children and elderly people, respectively. Standard therapies, such as chemotherapy, are only effective in 40% of ALL adult patients with a five-year survival rate and therefore new alternatives need to be used, such as immunotherapy targeting specific receptors of malignant cells. Among all the options, CAR (Chimeric antigen receptor)-based therapy has arisen as a new opportunity for refractory or relapsed hematological cancer patients. CARs were designed to be used along with T lymphocytes, creating CAR-T cells, but they are presenting such encouraging results that they are already in use as drugs. Nonetheless, their side-effects and the fact that it is not possible to infuse an allogenic CAR-T product without causing graft-versus-host-disease, have meant using a different cell source to solve these problems, such as Natural Killer (NK) cells. Although CAR-based treatment is a high-speed race led by CAR-T cells, CAR-NK cells are slowly (but surely) consolidating their position; their demonstrated efficacy and the lack of undesirable side-effects is opening a new door for CAR-based treatments. CAR-NKs are now in the field to stay.

论文信息

作者
Herrera L、Santos S、Vesga MA、Carrascosa T、Garcia-Ruiz JC、Pérez-Martínez A、Juan M、Eguizabal C
单位
Cell Therapy, Stem Cells and Tissues Group, Biocruces Bizkaia Health Research Institute, 48903 Barakaldo, Bizkaia, Spain.Spain
文献类型
综述
期刊
Cancers2021 Oct 28
原文标识
PubMed 34771581 · DOI 10.3390/cancers13215418