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嵌合抗原受体治疗急性髓系白血病的最新进展

英文原题:Recent progress in chimeric antigen receptor therapy for acute myeloid leukemia.

PubMed 2024/02/21(内容时间) Ann Hematol Q3 · IF 2.3(JCR 2025)

研究概要

尽管CAR-T细胞疗法作为B细胞恶性肿瘤的治疗手段尤为成功,但利用CAR有效治疗急性髓系白血病仍面临更大挑战。

中文摘要

尽管CAR-T细胞疗法作为B细胞恶性肿瘤的治疗方法特别成功,但用CAR有效治疗急性髓系白血病仍是一个更大的挑战。目前正在进行多项临床前研究和临床试验,包括针对CAR-T细胞可以靶向的AML相关表面标志物,如CD123、CD33、NKG2D、CLL1、CD7、FLT3、Lewis Y和CD70,这些都为开发具有更高特异性和疗效的CAR-T疗法提供了机会。我们还探索了CAR-T细胞治疗AML的具体策略,包括免疫检查点、自杀基因、双靶向、基因组工具以及通用CAR的潜力。此外,CAR-T细胞治疗AML仍存在一定的风险和挑战,包括细胞因子释放综合征(CRS)和血液毒性。尽管存在这些挑战,作为AML治疗的一种新靶向方法,CAR-T细胞疗法仍有很大的前景。正在进行的研究旨在进一步优化这种治疗模式。

展开英文摘要原文

Although CAR-T cell therapy has been particularly successful as a treatment for B cell malignancies, effectively treating acute myeloid leukemia with CAR remains a greater challenge. Multiple preclinical studies and clinical trials are underway, including on AML-related surface markers that CAR-T cells can target, such as CD123, CD33, NKG2D, CLL1, CD7, FLT3, Lewis Y and CD70, all of which provide opportunities for developing CAR-T therapies with improved specificity and efficacy. We also explored specific strategies for CAR-T cell treatment of AML, including immune checkpoints, suicide genes, dual targeting, genomic tools and the potential for universal CAR. In addition, CAR-T cell therapy for AML still has certain risks and challenges, including cytokine release syndrome (CRS) and haematotoxicity. Despite these challenges, as a new targeting method for AML treatment, CAR-T cell therapy still has great prospects. Ongoing research aims to further optimize this treatment mode.

论文信息

作者
Wang X、Zhang Y、Xue S
第一作者单位
Department of Hematology, Huai'an Hospital Affiliated to Xuzhou Medical University, Huai'an Second People's Hospital, Huai'an, 223002, China.China
通讯作者单位
National Clinical Research Center for Hematologic Diseases, Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, 215006, China. slxue@suda.edu.cn.China
文献类型
综述
期刊
Annals of hematology2024 Jun
原文标识
PubMed 38381173 · DOI 10.1007/s00277-023-05601-y