决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Progress on CAR-T cell therapy for hematological malignancies.
嵌合抗原受体(CAR)T细胞疗法是治疗血液系统恶性肿瘤的有效方法,经历了针对B淋巴细胞白血病和淋巴瘤的CD19 CAR-T细胞、针对多发性骨髓瘤的B细胞成熟抗原(BCMA)CAR-T细胞的发展,以及最近针对T细胞恶性肿瘤的CD7 CAR-T细胞的开发。
嵌合抗原受体(CAR)T细胞疗法是治疗血液系统恶性肿瘤的有效方法,已从用于B淋巴细胞白血病和淋巴瘤的CD19 CAR-T发展至用于多发性骨髓瘤的B细胞成熟抗原(BCMA)CAR-T,近期又发展出用于T细胞恶性肿瘤的CD7 CAR-T。相比其他血液系统恶性肿瘤,髓系恶性肿瘤领域面临更多障碍,因此相关研究方向更加多样。为获得疗效更佳、副作用更低的临床CAR-T细胞,研究者已开发多靶点CAR-T、通用CAR-T,以及通过基因工程由诱导多能干细胞(iPSC)衍生的CAR-T、CAR-NK和CAR-iMac细胞。中国科学家为原研CAR-T细胞的发明和生产,以及完整临床研究体系的建立作出了重要贡献。本综述介绍血液系统恶性肿瘤CAR-T疗法最新进展,包括B淋巴细胞恶性肿瘤、T淋巴细胞恶性肿瘤及髓系恶性肿瘤,并讨论多靶点、通用型和iPSC来源CAR相关细胞疗法等未来发展方向。原文摘要重复上述内容,本文译文按其完整信息翻译一次。
Chimeric antigen receptor (CAR) T cell therapy is an effective treatment for hematological malignancies, which have experienced the development of CD19 CAR-T cells for B lymphoblastic leukemia and lymphoma, B cell maturation antigen (BCMA) CAR-T cells for multiple myeloid, and more recently, the development of CD7 CAR-T cells for T cell malignancies. There are more obstacles for myeloid malignancies compared to other hematological malignancies in this field, thus concerning researches are in more diverse ways. In order to obtain more effective clinical CAR-T cells with lower side effects, scientists have developed multi-target CAR-T cells, universal CAR-T cells, as well as CAR-T cells, CAR-NK cells, CAR-iMac cells derived from induced pluripotent stem cells (iPSC) by genetic engineering. Chinese scientists have made significant contribution to the invention and manufacture of origin CAR-T cells and the establishment of an intact clinical research system. This review introduces the latest progress involving CAR-T cell therapy for hematological malignancies including B lymphoblastic malignancies, T lymphoblastic malignancies and myeloid malignancies, and also discuss the future developments including multi-target, universal and iPSC-derived CAR-related cell therapy. Chimeric antigen receptor (CAR) T cell therapy is an effective treatment for hematological malignancies, which have experienced the development of CD19 CAR-T cells for B lymphoblastic leukemia and lymphoma, B cell maturation antigen (BCMA) CAR-T cells for multiple myeloid, and more recently, the development of CD7 CAR-T cells for T cell malignancies. There are more obstacles for myeloid malignancies compared to other hematological malignancies in this field, thus concerning researches are in more diverse ways. In order to obtain more effective clinical CAR-T cells with lower side effects, scientists have developed multi-target CAR-T cells, universal CAR-T cells, as well as CAR-T cells, CAR-NK cells, CAR-iMac cells derived from induced pluripotent stem cells (iPSC) by genetic engineering. Chinese scientists have made significant contribution to the invention and manufacture of origin CAR-T cells and the establishment of an intact clinical research system. This review introduces the latest progress involving CAR-T cell therapy for hematological malignancies including B lymphoblastic malignancies, T lymphoblastic malignancies and myeloid malignancies, and also discuss the future developments including multi-target, universal and iPSC-derived CAR-related cell therapy.
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