CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Twenty Years of Advancing Discoveries and Treatment of Mantle Cell Lymphoma.
Twenty Years of Advancing Discoveries and Treatment of Mantle Cell Lymphoma.
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套细胞淋巴瘤(MCL)是一种侵袭性非霍奇金淋巴瘤亚型,以t(11;14)染色体易位为特征,该易位通过cyclin D1过表达导致细胞周期失调。尽管治疗进展改善了预后,特别是Bruton酪氨酸激酶抑制剂被引入治疗武器库以及最近CAR-T 细胞疗法的应用,但MCL常迅速产生耐药并具有高复发率。此外,MCL在临床上具有异质性。治疗反应可能各不相同,使得难以建立标准治疗方法。因此,仍然迫切需要更多关于MCL生物学的研究,包括那些支撑治疗反应或无反应的分子机制,以便能够识别新药和/或优化现有药物的使用。在淋巴瘤研究基金会第20届MCL科学联盟和研讨会上,研究人员齐聚一堂,讨论基础科学和临床研究的最新进展,以继续加深对MCL的理解并改善患者预后。本报告包括每个演讲的摘要,回顾了研讨会上展示的研究结果,并强调了机遇、未解问题以及未来研究领域,这些将为在未来几十年内治愈该疾病铺平道路。
Mantle cell lymphoma (MCL) is an aggressive subtype of non-Hodgkin lymphoma characterized by the t(11;14) chromosomal translocation, which leads to the dysregulation of the cell cycle through overexpression of cyclin D1. Although advances in treatment have improved outcomes, in particular the introduction of Bruton tyrosine kinase inhibitors to the treatment armamentarium and more recently chimeric antigen receptor T-cell therapy, MCL often rapidly develops resistance and has a high rate of relapse.
In addition, MCL is clinically heterogeneous. Response to treatment can vary, making it difficult to establish a standard treatment approach.
Thus, there remains a significant need for more research on MCL biology, including those molecular mechanisms underpinning treatment response or lack thereof, so that novel agents may be identified and/or the use of existing agents may be optimized. At the Lymphoma Research Foundation's 20th MCL Scientific Consortium and Workshop, researchers gathered to discuss recent developments in both basic scientific and clinical research to continue to develop an understanding of MCL and improve outcomes for patients.
This report, which includes a summary of each presentation, reviews the findings presented at the workshop and highlights opportunities, open questions, and areas for future study that would pave the way for a cure for this disease in the coming decades.
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