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骨髓微环境在血液系统恶性肿瘤 CAR-T 疗效中的作用

英文原题:The role of bone marrow microenvironment on CAR-T efficacy in haematologic malignancies.

查看英文原题

The role of bone marrow microenvironment on CAR-T efficacy in haematologic malignancies.

PubMed 2023/05/06(内容时间) Scand J Immunol Q3 · IF 2.4(JCR 2025)

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中文摘要

近年来CAR-T 成为新型免疫疗法,在B细胞血液恶性肿瘤中疗效显著,尤其靶向CD19的疗法在B细胞急性淋巴细胞白血病和非霍奇金淋巴瘤中取得前所未有的效果。血液肿瘤干细胞更易停留于骨髓生态位,获得抵御免疫攻击的保护。然而,骨髓微环境如何影响CAR-T 抗肿瘤活性及其机制仍需关注。本文综述骨髓微环境对血液恶性肿瘤CAR-T 疗效的作用,并提出增强疗效的相应策略。

展开英文摘要原文

In recent years, chimeric antigen receptor-T (CAR-T) cell therapy has emerged as a novel immunotherapy method. It has shown significant therapeutic efficacy in the treatment of haematological B cell malignancies.

In particular, the CAR-T therapy targeting CD19 has yielded unprecedented efficacy for acute B-lymphocytic leukaemia (B-ALL) and non-Hodgkin's lymphoma (NHL). In haematologic malignancies, tumour stem cells are more prone to stay in the regulatory bone marrow (BM) microenvironment (called niches), which provides a protective environment against immune attack.

However, how the BM microenvironment affects the anti-tumour efficacy of CAR-T cells and its underlying mechanism is worthy of attention. In this review, we discuss the role of the BM microenvironment on the efficacy of CAR-T in haematological malignancies and propose corresponding strategies to enhance the anti-tumour activity of CAR-T therapy.

论文信息

作者
Gao D、Hong F、He A
单位
Department of Hematology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.China
文献类型
综述
期刊
Scandinavian journal of immunology2023 Aug
原文标识
PubMed 39007933 · DOI 10.1111/sji.13273