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CAR-T 细胞疗法:我们近期的期待

英文原题:Chimeric Antigen Receptor T-Cell Therapy: What We Expect Soon.

查看英文原题

Chimeric Antigen Receptor T-Cell Therapy: What We Expect Soon.

PubMed 2022/11/01(内容时间) Int J Mol Sci Q1 · IF 5.6(JCR 2025)

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中文摘要

血液系统恶性肿瘤的治疗格局自近期高效CAR-T 细胞疗法(CAR-T)获批以来已发生变化。此外,目前有超过600项活跃试验正在进行中。然而,早期的热情应有所降温,因为若干问题仍未解决,并构成未来数年的挑战。缺乏初始缓解和早期复发是亟待解决的一些障碍。此外,需要新策略以提高安全性特征或缩短CAR-T 细胞治疗生产过程中的制造时间。目前,大多数临床评估的CAR-T 细胞产品来源于自体免疫细胞。使用来自健康供者细胞生成的同种异体CAR-T 细胞产品有可能改变这一局面并克服许多这些局限性。此外,CAR-T 细胞价格高昂,迫切需要理解如何为这些疗法付费,因为当今许多现行支付系统并不具备解决报销缺口的功能。最后,CAR-T 细胞用于实体瘤的临床经验不那么令人鼓舞,该领域的开发是可取的。

展开英文摘要原文

The treatment landscape for hematologic malignancies has changed since the recent approval of highly effective chimeric antigen receptor T-cell therapies (CAR-T).

Moreover, more than 600 active trials are currently ongoing.

However, early enthusiasm should be tempered since several issues are still unsolved and represent the challenges for the coming years. The lack of initial responses and early relapse are some hurdles to be tackled.

Moreover, new strategies are needed to increase the safety profile or shorten the manufacturing process during CAR-T cells therapy production. Nowadays, most clinically evaluated CAR-T cells products are derived from autologous immune cells. The use of allogeneic CAR-T cells products generated using cells from healthy donors has the potential to change the scenario and overcome many of these limitations.

In addition, CAR-T cells carry a high price tag, and there is an urgent need to understand how to pay for these therapies as many of today's current payment systems do not feature the functionality to address the reimbursement gap.

Finally, the clinical experience with CAR-T cells for solid tumors has been less encouraging, and development in this setting is desirable.

论文信息

作者
Martino M、Naso V、Loteta B、Canale FA、Pugliese M、Alati C、Musuraca G、Nappi D
第一作者单位
Stem Cell Transplant and Cellular Therapies Unit, Great Metropolitan Hospital "Bianchi-Melacrino-Morelli", 89133 Reggio Calabria, Italy.Italy
通讯作者单位
Hematology Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", 47014 Meldola, Italy.Italy
文献类型
综述
期刊
International journal of molecular sciences2022 Nov 1
原文标识
PubMed 36362130 · DOI 10.3390/ijms232113332