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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Immunotherapy in leukaemia.
Immunotherapy in leukaemia.
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白血病是造血系统一组恶性疾病的统称,分类复杂、特征多样。与许多其他白血病类型和亚型相比,急性白血病基础研究和临床前研究取得显著进展,尤其是急性髓系白血病(AML)和B细胞急性淋巴细胞白血病(B-ALL)的生物学基础及免疫治疗应用。本文概述白血病免疫治疗的基本方法,并重点介绍AML和ALL免疫治疗的研发进展。尽管目前已取得进步,白血病免疫治疗的疗效仍面临重大挑战,尤其是AML。为此,本文以AML为例,总结肿瘤细胞免疫逃逸机制,介绍近期研究数据和已知治疗靶点,并讨论寻找合适治疗靶点的障碍,以及双特异性抗体、细胞疗法(CAR-T 细胞治疗)和免疫检查点阻断等单药及联合疗法近期临床试验结果。最后,本文总结治疗淋巴细胞白血病的新型免疫治疗策略及临床试验结果。
Leukaemia is the common name for a group of malignant diseases of the haematopoietic system with complex classifications and characteristics. Remarkable progress has been made in basic research and preclinical studies for acute leukaemia compared to that of the many other types/subtypes of leukaemia, especially the exploration of the biological basis and application of immunotherapy in acute myeloid leukaemia (AML) and B-cell acute lymphoblastic leukaemia (B-ALL).
In this review, we summarize the basic approaches to immunotherapy for leukaemia and focus on the research progress made in immunotherapy development for AML and ALL.
Importantly, despite the advances made to date, big challenges still exist in the effectiveness of leukaemia immunotherapy, especially in AML.
Therefore, we use AML as an example and summarize the mechanisms of tumour cell immune evasion, describe recently reported data and known therapeutic targets, and discuss the obstacles in finding suitable treatment targets and the results obtained in recent clinical trials for several types of single and combination immunotherapies, such as bispecific antibodies, cell therapies (CAR-T-cell treatment), and checkpoint blockade.
Finally, we summarize novel immunotherapy strategies for treating lymphocytic leukaemia and clinical trial results.
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