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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:The Evolution of Chimeric Antigen Receptor T-Cell Therapy in Children, Adolescents and Young Adults with Acute Lymphoblastic Leukemia.
The Evolution of Chimeric Antigen Receptor T-Cell Therapy in Children, Adolescents and Young Adults with Acute Lymphoblastic Leukemia.
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CAR-T 细胞疗法是治疗复发/难治性B细胞急性淋巴细胞白血病的儿童、青少年和年轻成人(AYA)患者的一种革命性疗法。尽管免疫治疗领域持续快速发展,但CAR-T 疗法的广泛应用仍受限,关于CAR-T 疗法的持久性、避免CAR-T 疗法耐药的方法以及巩固性干细胞移植的作用,仍存在许多问题。有必要开发改良策略,以更低的成本和更小的毒性开发有效且持久的CAR-T 细胞。在本综述中,我们介绍CAR-T 疗法在儿童和AYA人群中治疗ALL的当前适应证、局限性和未来方向。
Chimeric antigen receptor T-cell (CAR T) therapy is a revolutionary treatment for pediatric, adolescent and young adult patients (AYA) with relapsed/refractory B-cell acute lymphoblastic leukemia. While the landscape of immunotherapy continues to rapidly evolve, widespread use of CAR T therapy is limited and many questions remain regarding the durability of CAR T therapy, methods to avoid CAR T therapy resistance and the role of consolidative stem cell transplant.
Modified strategies to develop effective and persistent CAR T cells at lower costs and decreased toxicities are warranted. In this review we present current indications, limitations and future directions of CAR T therapy for ALL in the pediatric and AYA population.
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