决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Alliance between titans: combination strategies of CAR-T cell therapy and oncolytic virus for the treatment of hematological malignancies.
已有若干临床研究使用嵌合抗原受体(CAR)-T 细胞疗法治疗不同的血液系统恶性肿瘤。
多项临床研究已将嵌合抗原受体(CAR)T细胞疗法用于不同血液系统恶性肿瘤,并显著改变了此类肿瘤的治疗格局。然而,对于急性髓系白血病(AML)和T细胞恶性肿瘤,预后仍然很差;即使在最有前景的适应证中,CAR-T治疗后复发仍是重大问题。溶瘤病毒(OV)可直接裂解肿瘤细胞或诱导免疫应答,并可通过工程化产生治疗性蛋白,增强抗癌作用。越来越多研究证实溶瘤病毒有益于血液系统恶性肿瘤治疗。单独使用任一疗法均无法避免其局限;CAR-T与溶瘤病毒联合可能互补各自不足、发挥各自优势并改善疗效。本文讨论联合这两种疗法治疗血液系统恶性肿瘤的不同策略。
There have been several clinical studies using chimeric antigen receptor (CAR)-T cell therapy for different hematological malignancies. It has transformed the therapy landscape for hematologic malignancies dramatically. Nonetheless, in acute myeloid leukemia (AML) and T cell malignancies, it still has a dismal prognosis. Even in the most promising locations, recurrence with CAR-T treatment remains a big concern. Oncolytic viruses (OVs) can directly lyse tumor cells or cause immune responses, and they can be manipulated to create therapeutic proteins, increasing anticancer efficacy. Oncolytic viruses have been proven in a rising number of studies to be beneficial in hematological malignancies. There are limitations that cannot be avoided by using either treatment alone, and the combination of CAR-T cell therapy and oncolytic virus therapy may complement the disadvantages of individual application, enhance the advantages of their respective treatment methods and improve the treatment effect. The alternatives for combining two therapies in hematological malignancies are discussed in this article.
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