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:Systematic Review of Available CAR-T Cell Trials around the World.
在本系统综述中,我们展望了未来几年针对血液肿瘤和实体瘤恶性肿瘤的 CAR-T 细胞疗法可能获得批准的情形。
在这篇系统综述中,我们展望未来几年针对血液系统和实体瘤恶性肿瘤的 CAR-T 细胞疗法可能获批的情形。中国和美国在 CAR-T 临床研究数量方面领先。血液系统肿瘤最常见的靶抗原为 CD19 和 BCMA;实体瘤靶点则以间皮素、GPC3、CEA、MUC1、HER2 和 EGFR 为主。大多数 CAR 构型为第二代,但第三代和第四代构型也在广泛探索。此外,研究者正在评估 CAR-T 联合免疫检查点抑制剂及其他药物的获益。有关产品制剂和给药的信息较少,例如细胞表型、转染技术和细胞剂量等数据无法获取。更好地追踪 ClinicalTrials.gov 数据库中的试验状态和结果,有助于更简明、全面地了解正在开展的 CAR-T 临床试验。
In this systematic review, we foresee what could be the approved scenario in the next few years for CAR-T cell therapies directed against hematological and solid tumor malignancies. China and the USA are the leading regions in numbers of clinical studies involving CAR-T. Hematological antigens CD19 and BCMA are the most targeted, followed by mesothelin, GPC3, CEA, MUC1, HER2, and EGFR for solid tumors. Most CAR constructs are second-generation, although third and fourth generations are being largely explored. Moreover, the benefit of combining CAR-T treatment with immune checkpoint inhibitors and other drugs is also being assessed. Data regarding product formulation and administration, such as cell phenotype, transfection technique, and cell dosage, are scarce and could not be retrieved. Better tracking of trials' status and results on the ClinicalTrials.gov database should aid in a more concise and general view of the ongoing clinical trials involving CAR-T cell therapy.
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