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:Novel Immune-Based treatments for Diffuse Large B-Cell Lymphoma: The Post-CAR T Cell Era.
Novel Immune-Based treatments for Diffuse Large B-Cell Lymphoma: The Post-CAR T Cell Era.
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复发/难治性(R/R)弥漫大 B 细胞淋巴瘤(DLBCL)患者预后较差。以 CD19 嵌合抗原受体(CAR)T 细胞疗法为代表的免疫治疗已彻底改变 R/R DLBCL 治疗格局,可使约 50% 患者获得持久缓解。然而,CAR-T 细胞治疗后仍有患者无应答或复发,迫切需要开发新疗法改善其临床结局。缺乏合适免疫治疗靶点及疾病异质性是这一新兴领域的主要挑战。本文综述 CAR-T 时代后已获批及新兴的 R/R DLBCL 免疫疗法,并介绍目前使用的细胞表面靶点。
Prognosis for patients with refractory/relapsed (R/R) diffuse large B-cell lymphoma (DLBCL) is poor. Immune-based therapeutic treatments such as CD19 Chimeric Antigen Receptor (CAR) T cell therapies have dramatically changed the treatment landscape for R/R DLBCL leading to durable remissions in ~ 50% of patients.
However, there remains an unmet need for developing novel therapies to improve clinical outcomes of patients not responding or relapsing after CAR T cell therapies. Lack of suitable immunotherapeutic targets and disease heterogeneity represent the foremost challenges in this emerging field. In this review, we discuss the recently approved and emerging novel immunotherapies for patients with R/R DLBCL in the post-CAR T era and the cell surface targets currently used.
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