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:Adaptable Leukemia Cells Resisting CAR T-cell Attack via B-cell Activation.
Adaptable Leukemia Cells Resisting CAR T-cell Attack via B-cell Activation.
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嵌合抗原受体(CAR)T细胞疗法在B细胞恶性肿瘤的治疗中已取得显著里程碑。然而,在大量患者中,癌细胞常常能在CAR-T 细胞杀伤后存活。复发往往与抗原丢失相关。在本期中,Im及其同事报道了白血病细胞对抗CD19 CAR-T 细胞耐药的一种新机制:白血病细胞能够启用B细胞活化和生发中心反应特征,从而导致CD19转录下调并在CAR暴露后存活。参见Im等人相关文章,第1055页(5)。
Chimeric antigen receptor (CAR) T-cell therapy has achieved remarkable milestones in the treatment of B-cell malignancies.
However, cancer cells frequently survive CAR T-cell killing in a large cohort of patients. Relapse oftentimes is associated with antigen loss. In this issue, Im and colleagues report a new mechanism of leukemic-cell resistance to anti-CD19 CAR T cells: Leukemic cells can enable a B-cell activation and germinal center reaction signature, which causes CD19 transcriptional downregulation and survival from CAR exposure. See related article by Im et al. , p. 1055 (5).
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