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 in B-Cell Lymphomas: The Past, Present, and Future.
CAR-T in B-Cell Lymphomas: The Past, Present, and Future.
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侵袭性B细胞淋巴瘤,包括弥漫大B细胞淋巴瘤,在全球范围内占非霍奇金淋巴瘤的大多数。虽然超过一半的患者可通过现代化学免疫治疗方案治愈,但复发/难治性疾病的结局仍然非常差。尽管靶向癌症治疗和免疫肿瘤学取得了显著进展,但对于化疗敏感的患者,除了采用高剂量化疗后接续造血干细胞移植外,实现治愈仍然是一个难以企及的目标。CAR-T 细胞疗法的出现改变了这一范式,并为这些患者开辟了一个新的治疗可能性领域。在这篇综述中,我们将讨论该治疗模式在B细胞淋巴瘤中的当前状况,并就未来需要将努力集中在哪些方面以进一步提高其临床实用性提供意见。
Aggressive B-cell lymphomas including diffuse large B-cell lymphoma make up the majority of non-Hodgkin's lymphoma globally. While more than half of these patients can be cured with modern chemoimmunotherapy regimens, the outcomes of relapsed or refractory disease continue to be very poor. Despite significant developments in targeted cancer therapies and immuno-oncology, the attainability of a cure remained an elusive goal outside of incorporating high doses of chemotherapy followed by hematopoietic stem cell transplantation, for patients who have chemosensitive disease.
The development of chimeric antigen receptor T-cell therapy changed that paradigm and introduced a new field of therapeutic possibilities for these patients. In this review, we will discuss the current state of this therapeutic modality in B-cell lymphomas and provide opinions on where future efforts need to focus in order to further improve their clinical utility.
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