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:Use of CAR T-cell for acute lymphoblastic leukemia (ALL) treatment: a review study.
Use of CAR T-cell for acute lymphoblastic leukemia (ALL) treatment: a review study.
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急性淋巴细胞白血病(ALL)是一种癌症特异性的淋巴样细胞疾病。单独使用诱导和巩固化疗或与其他不同治疗方法联合使用仍是主要治疗手段。尽管可以实现疾病的完全或部分缓解,但复发/难治性白血病的风险仍然很高。更有效且安全的治疗选择仍是未满足的需求。近年来,新的治疗方法已被广泛应用。造血干细胞移植(HSCT)存在显著局限性,且巩固治疗的结果取决于患者个体情况。异基因造血干细胞移植中的移植物抗宿主病(GvHD)等副作用极为常见,因此,使用替代方法来解决这些治疗挑战似乎至关重要。在过去十年中,用嵌合抗原受体(CAR)进行基因工程改造的T细胞治疗ALL得到了大量研究,代表了新的策略时代。根据I/II期临床试验,该技术的结果似乎非常有前景,并可能在不久的将来作为ALL治疗的有效且安全的方法。在这篇综述中,讨论了与嵌合抗原受体(CAR)T细胞治疗ALL相关的不同世代、挑战和临床研究。
Acute lymphoblastic leukemia (ALL) is a cancer-specific lymphoid cell. Induction and consolidation chemotherapy alone or in combination with different therapeutic approaches remain the main treatment. Although complete or partial remission of the disease can be achieved, the risk of relapse or refractory leukemia is still high. More effective and safe therapy options are yet unmet needs. In recent years' new therapeutic approaches have been widely used. Hematopoietic Stem Cell Transplantation (HSCT) presents significant limitations and the outcome of the consolidation treatment is patient dependent.
Side effects such as Graft versus Host Disease (GvHD) in allogeneic hematopoietic stem cell transplantation are extremely common, therefore, using alternative methods to address these challenges for treatment seems crucial. In the last decade, T cells genetically engineered with Chimeric Antigen Receptor (CAR) treatment for the ALL are largely studied and represent the new era of strategy.
According to the Phase I/II clinical trials, this technology results seem very promising and can be used in the next future as an effective and safe treatment for ALL treatment. In this review different generations, challenges, and clinical studies related to chimeric antigen receptor (CAR) T-cells for ALL treatment are discussed.
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