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儿童、青少年和年轻成人急性淋巴细胞白血病中 CAR-T 细胞治疗的演变

英文原题:The Evolution of Chimeric Antigen Receptor T-Cell Therapy in Children, Adolescents and Young Adults with Acute Lymphoblastic Leukemia.

查看英文原题

The Evolution of Chimeric Antigen Receptor T-Cell Therapy in Children, Adolescents and Young Adults with Acute Lymphoblastic Leukemia.

PubMed 2022/09/14(内容时间) Biomedicines Q2 · IF 4.5(JCR 2025)

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中文摘要

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。

展开英文摘要原文

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.

论文信息

作者
Ragoonanan D、Sheikh IN、Gupta S、Khazal SJ、Tewari P、Petropoulos D、Li S、Mahadeo KM
单位
Department of Pediatrics, Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.United States
文献类型
综述
期刊
Biomedicines2022 Sep 14
原文标识
PubMed 36140387 · DOI 10.3390/biomedicines10092286