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CAR-T 细胞瞄准新靶点:增强 B 细胞来源恶性肿瘤过继细胞治疗的新方法

英文原题:CAR-T Cells Shoot for New Targets: Novel Approaches to Boost Adoptive Cell Therapy for B Cell-Derived Malignancies.

查看英文原题

CAR-T Cells Shoot for New Targets: Novel Approaches to Boost Adoptive Cell Therapy for B Cell-Derived Malignancies.

PubMed 2022/05/31(内容时间) Cells Q2 · IF 6(JCR 2025)

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中文摘要

嵌合抗原受体(CAR)T 细胞疗法无疑是对抗多种血液系统恶性肿瘤的有前景工具。然而,该疗法尚不完善,相当一部分患者无应答或治疗后复发。要改进治疗,需仔细分析现存问题并深入理解其原因。本文总结 CAR-T 产品临床表现的最新认识,并讨论为改善该疗法主要缺点而采取的多种策略。我们尤其关注 CD19 CAR-T 治疗 B 细胞来源恶性肿瘤所面临的挑战,并回顾介导治疗耐药机制的最新发现。由于 CD19 丢失是 CAR-T 治疗成功的主要障碍之一,本文介绍可替代用于治疗不同类型 B 细胞来源癌症的抗原。

展开英文摘要原文

Chimeric antigen receptor (CAR)-T cell therapy is undeniably a promising tool in combating various types of hematological malignancies.

However, it is not yet optimal and a significant number of patients experience a lack of response or relapse after the treatment. Therapy improvement requires careful analysis of the occurring problems and a deeper understanding of the reasons that stand behind them. In this review, we summarize the recent knowledge about CAR-T products' clinical performance and discuss diversified approaches taken to improve the major shortcomings of this therapy.

Especially, we prioritize the challenges faced by CD19 CAR-T cell-based treatment of B cell-derived malignancies and revise the latest insights about mechanisms mediating therapy resistance. Since the loss of CD19 is one of the major obstacles to the success of CAR-T cell therapy, we present antigens that could be alternatively used for the treatment of various types of B cell-derived cancers.

论文信息

作者
Marhelava K、Krawczyk M、Firczuk M、Fidyt K
单位
Department of Immunology, Medical University of Warsaw, 02-097 Warsaw, Poland.Poland
文献类型
综述 · 非美国政府资助研究
期刊
Cells2022 May 31
原文标识
PubMed 35681499 · DOI 10.3390/cells11111804