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我们准备好迎接个体化 CAR-T 治疗了吗?

英文原题:Are we ready for personalized CAR-T therapy?

查看英文原题

Are we ready for personalized CAR-T therapy?

PubMed 2023/07/11(内容时间) Eur J Haematol Q2 · IF 2.6(JCR 2025)

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中文摘要

CAR-T(CAR-T)疗法的未来仍不明确。不断有新的研究发表,证实其创新性改进的疗效和良好的安全性。目前获批的CAR-T 药物仅针对特定患者,由接受者自身的细胞制造。这并未关闭进一步修饰的大门,后续可进行个性化改造,更好地适应个体需求。将此类药物推向市场将涉及提高本已高昂的成本,因此有必要降低现有成本。另一方面,所谓的通用型CAR-T 也正在越来越接近患者床边,但其实施可能面临多重挑战,包括移植物抗宿主病(GvHD)和同种免疫的发生。然而,这种即用型疗法可能作为身体状况极差或因制造限制而被排除在当前疗法之外患者的快速解决方案而发挥作用。目前正在测试的解决方案的引入无疑将改变当前的治疗范式。

展开英文摘要原文

The future of chimeric antigen receptor T (CAR-T) therapy remains unclear. New studies are constantly being published confirming the efficacy and favorable safety profile of its innovative enhancements. Currently approved CAR-T drugs are manufactured exclusively for a specific patient from the recipient's own cells. This does not close the door to further modifications with subsequent personalization and better adaptation to the individual needs.

Bringing such a drug to market would involve raising the already high costs, so it is necessary to lower the existing ones. On the other hand, so-called universal CAR-T are also getting closer to the patient's bed, but its implementation may struggle with multiple challenges, including development of graft-versus-host disease (GvHD) and alloimmunity.

However, that off-the-shelf therapy could prove useful as a quick solution for patients in very poor condition or excluded from current therapy due to manufacturing limitations. The introduction of currently tested solutions may undoubtedly change the current paradigm of treatment.

论文信息

作者
Strzelec A、Helbig G
单位
Department of Hematology and Bone Marrow Transplantation, Faculty of Medicine in Katowice, Medical University of Silesia, Katowice, Poland.Poland
文献类型
综述
期刊
European journal of haematology2024 Feb
原文标识
PubMed 37431655 · DOI 10.1111/ejh.14039