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:Chimeric Antigen Receptor T Cell and Chimeric Antigen Receptor NK Cell Therapy in Pediatric and Adult High-Grade Glioma-Recent Advances.
高级别胶质瘤(HGG)约占儿童中枢神经系统(CNS)肿瘤的10%,占成人CNS肿瘤的25%。
高级别胶质瘤(HGG)约占儿童中枢神经系统(CNS)肿瘤的10%,成人CNS肿瘤的25%。尽管发生率低,HGG仍是一个重要的临床问题。儿童和成人HGG患者的标准治疗程序是手术切除肿瘤联合化疗和放疗。尽管进行了强化治疗,儿童患者的5年总生存率仍低于20-30%。对于成人中最常见的HGG(胶质母细胞瘤),这一比率更低,不足5%。因此,寻找能够延长生存率的新治疗方法至关重要。治疗选择之一是使用表达嵌合抗原受体(CAR)的免疫细胞(T淋巴细胞/自然杀伤(NK)细胞)。以下综述的目的是介绍评估CAR-T和CAR-NK细胞在HGG治疗中疗效的最新临床前和临床研究结果。
High-grade gliomas (HGG) account for approximately 10% of central nervous system (CNS) tumors in children and 25% of CNS tumors in adults. Despite their rare occurrence, HGG are a significant clinical problem. The standard therapeutic procedure in both pediatric and adult patients with HGG is the surgical resection of the tumor combined with chemotherapy and radiotherapy. Despite intensive treatment, the 5-year overall survival in pediatric patients is below 20-30%. This rate is even lower for the most common HGG in adults (glioblastoma), at less than 5%. It is, therefore, essential to search for new therapeutic methods that can extend the survival rate. One of the therapeutic options is the use of immune cells (T lymphocytes/natural killer (NK) cells) expressing a chimeric antigen receptor (CAR). The objective of the following review is to present the latest results of preclinical and clinical studies evaluating the efficacy of CAR-T and CAR-NK cells in HGG therapy.
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