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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Strategies to optimize chimeric antigen receptor T-cell therapy in hematologic malignancies: Chinese experience.
Strategies to optimize chimeric antigen receptor T-cell therapy in hematologic malignancies: Chinese experience.
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嵌合抗原受体(CAR)T细胞疗法已成为治疗白血病、淋巴瘤和多发性骨髓瘤等部分血液系统恶性肿瘤的有前景过继T细胞免疫疗法。中国已成为登记CAR-T 细胞试验数量最多的国家。尽管CAR-T 细胞疗法取得显著临床结局,疾病复发、CAR-T 细胞制备流程和安全性等挑战仍限制其治疗血液系统恶性肿瘤的疗效。在创新发展阶段,多项临床试验报告了针对血液系统恶性肿瘤新靶点的CAR设计。本综述全面总结中国CAR-T 细胞疗法的当前格局和临床开发进展。此外,我们介绍进一步提高CAR-T 细胞临床应用价值的策略,例如提升血液系统恶性肿瘤的疗效和缓解持续时间。
Chimeric antigen receptor (CAR) T-cell therapy has emerged as a promising form of adoptive T-cell immunotherapy for selected hematologic malignancies including leukemia, lymphoma and multiple myeloma. China has become the country with the largest number of registered CAR T-cell trials.
Despite the remarkable clinical outcomes achieved with CAR Tcell therapy, challenges such as disease relapse, the process of manufacturing the CAR T cells and safety have limited the therapeutic efficacy of CAR T cells in hematologic malignancies. In this period of innovation, several clinical trials have reported the design of CAR directed at new targets in hematologic malignancies. In this review, we comprehensively summarize the contemporary landscape and clinical development of CAR T-cell therapy in China.
In addition, we present strategies for further improving the clinical utility of CAR T-cell therapy, such as increasing the efficacy and response duration, in hematologic malignancies.
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