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靶向 CD22 治疗 B 细胞血液系统恶性肿瘤

英文原题:Targeting CD22 for B-cell hematologic malignancies.

PubMed 2023/10/11(内容时间) Exp Hematol Oncol Q1 · IF 17.5(JCR 2025)

研究概要

然而,30%-60% 的患者最终复发,其中 CD19 阴性复发是持续缓解的重要障碍。

中文摘要

靶向CD19的嵌合抗原受体(CAR)T细胞疗法治疗复发或难治性(R/R)B细胞恶性肿瘤已显示显著临床疗效。然而,30%至60%的患者最终复发,其中CD19阴性复发是维持缓解的重要障碍。恶性B细胞中的CD22表达不依赖于CD19,因此CD22是治疗CD19 CAR-T耐药患者的潜在替代靶点。以抗体药物偶联物(ADC)和CAR-T细胞为主的CD22靶向疗法已广泛进入临床应用,并显示可接受的毒性和良好疗效。本综述探讨CD22的分子和生理特征、CD22 ADC和CAR-T细胞的开发,以及现有临床数据,并提出克服肿瘤逃逸、提高CD22靶向治疗疗效的思路。

展开英文摘要原文

CD19-targeted chimeric receptor antigen (CAR)-T cell therapy has shown remarkable clinical efficacy in the treatment of relapsed or refractory (R/R) B-cell malignancies. However, 30%-60% of patients eventually relapsed, with the CD19-negative relapse being an important hurdle to sustained remission. CD22 expression is independent of CD19 expression in malignant B cells. Consequently, CD22 is a potential alternative target for CD19 CAR-T cell-resistant patients. CD22-targeted therapies, mainly including the antibody-drug conjugates (ADCs) and CAR-T cells, have come into wide clinical use with acceptable toxicities and promising efficacy. In this review, we explore the molecular and physiological characteristics of CD22, development of CD22 ADCs and CAR-T cells, and the available clinical data on CD22 ADCs and CAR-T cell therapies. Furthermore, we propose some perspectives for overcoming tumor escape and enhancing the efficacy of CD22-targeted therapies.

论文信息

作者
Xu J、Luo W、Li C、Mei H
第一作者单位
Hubei Clinical Medical Center of Cell Therapy for Neoplastic Disease, Wuhan, 430022, China.China
通讯作者单位
Hubei Clinical Medical Center of Cell Therapy for Neoplastic Disease, Wuhan, 430022, China. hmei@hust.edu.cn.China
文献类型
综述
期刊
Experimental hematology & oncology2023 Oct 11
原文标识
PubMed 37821931 · DOI 10.1186/s40164-023-00454-7