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:CAR T therapies in multiple myeloma: unleashing the future.
近年来,癌症治疗领域取得了显著突破,彻底改变了癌症患者的治疗格局。
近年来,癌症治疗领域取得了显著突破,彻底改变了癌症患者的治疗格局。尽管手术、化疗和放疗等传统支柱早已存在,但一种名为 CAR T 细胞疗法的前沿治疗手段已成为治疗多发性骨髓瘤(MM)的游戏规则改变者。这种新型治疗方法通过利用蛋白复合物或具有强效补体依赖性细胞毒作用的抗 CD38 抗体,补充了自体干细胞移植和免疫调节药物(如蛋白酶体抑制剂)等选择。尽管这些治疗伴随挑战和障碍,但第二款 FDA 批准的多发性骨髓瘤 CAR T 细胞疗法近期获批,已在该领域激发了巨大希望。迄今为止,结果表明其有潜力成为一种高度有效的治疗解决方案。此外,正在进行的临床前和临床试验正在探索 CAR T 细胞靶向骨髓瘤细胞上特定抗原的能力,为复发/难治性 MM(RRMM)患者带来了希望。这些进展显示了基于 CAR T 细胞的药物或联合疗法有望引发更大的治疗反应并尽量减少副作用。在此背景下,深入探讨 CAR T 细胞的历史和功能,同时承认其局限性,至关重要。通过了解其挑战,我们可以制定策略并开发创新方法来克服这些障碍。本文旨在提供关于 CAR T 细胞在治疗 MM 中应用的见解,阐明其潜力、局限性以及用于增强其疗效的策略。
In recent years, the field of cancer treatment has witnessed remarkable breakthroughs that have revolutionized the landscape of care for cancer patients. While traditional pillars such as surgery, chemotherapy, and radiation therapy have long been available, a cutting-edge therapeutic approach called CAR T-cell therapy has emerged as a game-changer in treating multiple myeloma (MM). This novel treatment method complements options like autologous stem cell transplants and immunomodulatory medications, such as proteasome inhibitors, by utilizing protein complexes or anti-CD38 antibodies with potent complement-dependent cytotoxic effects. Despite the challenges and obstacles associated with these treatments, the recent approval of the second FDA multiple myeloma CAR T-cell therapy has sparked immense promise in the field. Thus far, the results indicate its potential as a highly effective therapeutic solution. Moreover, ongoing preclinical and clinical trials are exploring the capabilities of CAR T-cells in targeting specific antigens on myeloma cells, offering hope for patients with relapsed/refractory MM (RRMM). These advancements have shown the potential for CAR T cell-based medicines or combination therapies to elicit greater treatment responses and minimize side effects. In this context, it is crucial to delve into the history and functions of CAR T-cells while acknowledging their limitations. We can strategize and develop innovative approaches to overcome these barriers by understanding their challenges. This article aims to provide insights into the application of CAR T-cells in treating MM, shedding light on their potential, limitations, and strategies employed to enhance their efficacy.
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