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临床工作中克服 CAR-T 细胞耐药的策略:单中心经验

英文原题:Strategies to overcome CAR-T cell resistance in clinical work: A single-institute experience.

查看英文原题

Strategies to overcome CAR-T cell resistance in clinical work: A single-institute experience.

PubMed 2022/08/10(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

嵌合抗原受体(CAR)T细胞治疗的出现改变了恶性肿瘤治疗格局,尤其是靶向CD19的CAR-T 用于复发/难治性(R/R)B细胞恶性肿瘤。尽管CAR-T 疗效可观,仍有部分患者对治疗耐药,后续治疗选择有限,因此亟需克服耐药的策略。本研究回顾了3例CAR-T 治疗耐药的R/R弥漫性大B细胞淋巴瘤患者;在接受帕博利珠单抗、21D4 CAR-T 细胞或伊布替尼联合维奈克拉治疗后,患者疾病得到控制。文章还讨论了一些有前景的耐药预防和治疗策略。

展开英文摘要原文

The emergence of chimeric antigen receptor (CAR) T cell therapy has shifted the paradigm of malignant tumor treatment, especially the advent of CD19-directed CAR-T cell therapy for the treatment of relapsed/refractory (R/R) B-cell malignancies. Although CAR-T cell therapy has promising effects, some patients are resistant to this treatment, leaving them with limited options.

Therefore, strategies to overcome resistance to CAR-T cell therapy are needed.

We retrospectively studied three R/R diffuse large B-cell lymphoma patients who were resistant to CAR-T cell therapy and whose disease was controlled after receiving pembrolizumab, 21D4 CAR-T cells, or ibrutinib and venetoclax. Some promising prevention and treatment strategies to overcome treatment resistance are also discussed.

论文信息

作者
Nan F、Fu X、Chen X、Li L、Li X、Wu J、Feng X、Wu X
单位
Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.China
期刊
Frontiers in immunology2022
原文标识
PubMed 36032118 · DOI 10.3389/fimmu.2022.929221