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:Precise diagnosis and targeted therapy of nodal T-follicular helper cell lymphoma (T-FHCL).
Precise diagnosis and targeted therapy of nodal T-follicular helper cell lymphoma (T-FHCL).
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淋巴结型T滤泡辅助细胞淋巴瘤(T-FHCL)来源于T滤泡辅助(Tfh)细胞,属于异质性外周T细胞淋巴瘤(PTCL)。由于治疗方案有限且一线疗效不佳,T-FHCL预后较差,亟需有效的靶向治疗。随着测序技术进步,尤其是单细胞测序和新一代测序的发展,可发现更具特异性的T-FHCL遗传变异,从而实现精准分子诊断,并支持对新药开展特异性研究。多种靶向生物标志物的药物已作为单药或联合治疗进行测试,整体上改善了T-FHCL治疗结局。组蛋白去乙酰化酶抑制剂治疗T-FHCL可带来显著临床获益,尤其是联合治疗时。CAR-T 细胞免疫疗法、造血干细胞移植及其他潜在药物仍值得进一步研究。
Nodal T-follicular helper cell lymphoma (T-FHCL) derived from T-follicular helper (Tfh) cell falls into a heterogeneous category of peripheral T-cell lymphoma (PTCL). Due to the limited number of therapeutic regimens and limited first-line efficacy, T-FHCL has a poor prognosis, and there is an urgent need for effective targeted therapies. With advancements in sequencing technologies, especially single-cell sequencing and next-generation sequencing, more specific genetic aberrations characteristic of T-FHCL can be discovered, allowing for precise molecular diagnosis and specific research on novel agents.
Many biomarker-targeting agents, used either alone or in combination, have been tested, and they have generally enhanced the therapeutic outcomes of T-FHCL. Histone deacetylase inhibitors achieve significant clinical benefits in the treatment of T-FHCL, especially in combination therapy. Chimeric antigen receptor T-cell (CAR-T-cell) immunotherapies, hematopoietic stem cell transplantation, and other potential agents merit further study.
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