抗 CD22/CD19 CAR-T 细胞疗法 CAR-T2219.1 在成人和儿童复发/难治性 B-ALL 中的 I/II 期试验
A Phase I/II Trial of Anti-CD22/CD19 CAR-T Cell Therapy, CART2219.1, in Adult and Pediatric Relapsed/Refractory B-ALL.
英文原题:Development of Immune Cell Therapy Using T Cells Generated from Pluripotent Stem Cells.
Development of Immune Cell Therapy Using T Cells Generated from Pluripotent Stem Cells.
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在癌症免疫治疗领域,一种将患者来源的T细胞在体外进行基因修饰后回输给患者的方法的有效性已得到证实。然而,该方法仍存在问题,如(1)耗时,(2)成本高,(3)难以保证质量。为克服这些障碍,过去十年中多个研究团队正在探索利用iPSC技术再生T细胞的策略。作者一直在开发一种方法,即将特异性TCR基因导入iPSC,并从这些iPSC中生成T细胞(TCR-iPSC方法)。目前,我们团队正在为该方法进入临床试验做准备,其中来自iPSC项目的iPSC被转导已经过临床测试的WT1抗原特异性TCR,并从这种TCR-iPSC中生成杀伤性T细胞,用于回输给急性髓系白血病患者。虽然过继性T细胞治疗主要用于癌症免疫治疗,但这些方法也有可能应用于病毒感染。其他团队从iPSC再生各种类型T细胞的策略也将被介绍。
In the field of cancer immunotherapy, the effectiveness of a method in which patient-derived T cells are genetically modified ex vivo and administered to patients has been demonstrated.
However, problems remain with this method, such as (1) time-consuming, (2) costly, and (3) difficult to guarantee the quality. To overcome these barriers, strategies to regenerate T cells using iPSC technology are being pursued by several groups in the last decade. The authors have been developing a method by which specific TCR genes are introduced into iPSCs and T cells are generated from those iPSCs (TCR-iPSC method).
At present, our group is preparing this approach for clinical trial, where iPSCs provided from the iPSC project are transduced with WT1 antigen-specific TCR that had been already clinically tested, and killer T cells are generated from such TCR-iPSCs, to be administered to acute myeloid leukemia patients.
While the adoptive T cell therapies have been mainly directed to be used in cancer immunotherapy, it is possible to apply these approaches to viral infections. Strategies by other groups to regenerate various types of T cells from iPSCs will also be introduced.
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