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DLBCL 以外淋巴瘤中 CAR-T 治疗的新适应证与平台

英文原题:New Indications and platforms for CAR-T therapy in lymphomas beyond DLBCL.

查看英文原题

New Indications and platforms for CAR-T therapy in lymphomas beyond DLBCL.

PubMed 2021/11/23(内容时间) EJHaem Q4 · IF 1.3(JCR 2025)

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中文摘要

CD19 靶向CAR-T 细胞疗法(CAR-T)代表了复发/难治性大 B 细胞淋巴瘤(LBCL)患者的重大进展。长期随访证实,近半数患者可获得持久缓解,而这一人群此前估计接受标准挽救治疗的中位生存期约为 6 个月。CAR-T 的这一初步成功促使其在其他淋巴瘤组织学类型中的显著扩展,近期已导致 CAR-T 在套细胞淋巴瘤和滤泡性淋巴瘤中获得监管批准。此外,多种新型 CAR-T 治疗平台正在开发中,以提高疗效并限制毒性,例如双抗原靶向、异基因和自然杀伤 CAR。在这篇综述中,我们重点关注 CAR-T 在 LBCL 以外淋巴瘤中的新适应症以及新兴的 CAR-T 治疗平台。

展开英文摘要原文

CD19 directed chimeric antigen receptor T-cell therapy (CAR-T) represents a significant advancement for patients with relapsed/refractory large B-cell lymphoma (LBCL). Long term follow-up confirms durable remissions in nearly half of the patients, a population which was previously estimated to have a median survival of around 6 months with standard salvage therapy.

This initial success of CAR-T has led to significant expansion across other lymphoma histologies resulting in the recent regulatory approval of CAR-T in mantle cell lymphoma and follicular lymphoma.

Additionally, multiple novel platforms of CAR-T therapy are under development to improve efficacy and limit toxicity such dual antigen targeting, allogeneic and natural killer CAR's. In this review, we focus on the new indications of CAR-T in lymphomas beyond LBCL as well as emerging platforms of CAR-T therapy.

论文信息

作者
Iqbal M、Savani BN、Hamadani M
第一作者单位
Division of Hematology and Oncology, Mayo Clinic, Jacksonville, FL.United States
通讯作者单位
Blood & Marrow Transplantation and Cellular Therapy Program, Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI.United States
期刊
EJHaem2022 Jan
原文标识
PubMed 34988550 · DOI 10.1002/jha2.323