决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:The Evolving Therapeutic Landscape for Malignant Pleural Mesothelioma.
间皮瘤不断演进的一线治疗选择包括 VEGF 抑制联合化疗以及双重免疫检查点抑制,同时也在探索这些疗法之间的协同作用以及通过生物标志物预测缓解。
综述目的:恶性胸膜间皮瘤患者预后较差,5 年生存率极低,治疗选择有限。本文回顾间皮瘤当前的治疗格局,并重点介绍有前景的未来治疗方向。 最新进展:间皮瘤不断发展的前线治疗选择包括 VEGF 抑制联合化疗和双重免疫检查点抑制;研究者也在探索这些疗法间的协同作用及利用生物标志物预测反应。正在发展的间皮瘤实验性疗法包括 PARP 和 ALK 抑制剂、树突状细胞及 CAR T 细胞疗法、抗间皮素疫苗和溶瘤病毒疗法,代表了该领域的近期进展。恶性胸膜间皮瘤的治疗格局持续演变,一线和后线治疗的优选方案也可能随之改变。但这并不排除在当前临床试验和临床管理中纳入覆盖血管生成与免疫检查点抑制的多模式疗法及生物标志物应用的依据。
PURPOSE OF REVIEW: For patients with malignant pleural mesothelioma, prognosis is poor with extremely low 5-year survival rates and limited therapeutic options. Here, we review the current treatment landscape for mesothelioma and highlight promising future therapeutic directions. RECENT FINDINGS: Evolving frontline therapeutic options for mesothelioma include VEGF inhibition in combination with chemotherapy and dual immune checkpoint inhibition, with synergisms between the therapies and response prediction via biomarkers also being explored. Evolving experimental treatments for mesothelioma include PARP and ALK inhibitors, dendritic and CAR T-cell therapies, anti-mesothelin vaccines, and oncolytic viral therapies, representing timely advances in the field. The therapeutic landscape for malignant pleural mesothelioma is evolving and preferred treatment in the frontline and later settings will likely evolve with it. However, this does not preclude the evidence for including multi-modal therapies spanning angiogenesis and immune checkpoint inhibitors, and biomarker utilization, in current clinical trials and management.
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