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异基因造血干细胞移植后复发急性髓系白血病的细胞治疗

英文原题:Cell-Based Treatment in Acute Myeloid Leukemia Relapsed after Allogeneic Stem Cell Transplantation.

查看英文原题

Cell-Based Treatment in Acute Myeloid Leukemia Relapsed after Allogeneic Stem Cell Transplantation.

PubMed 2024/08/01(内容时间) Biomedicines Q2 · IF 4.5(JCR 2025)

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中文摘要

异基因干细胞移植(ASCT)仍然是高危急性髓系白血病(AML)患者唯一的治疗选择。ASCT后白血病细胞复发是一个与不良结局相关的戏剧性事件,2年生存率约为20%。过继性细胞治疗(ACT)是一种基于细胞的策略,已成为治疗和预防ASCT后复发的有效疗法。淋巴细胞是这种疗法中使用的主要细胞,可以来源于造血干细胞供者、患者自身或健康供者,经过工程化改造以表达嵌合抗原受体(CAR-T 和UniCAR-T)。在这篇综述中,我们讨论了供者淋巴细胞输注(DLI)这一既定策略的最新进展以及CAR-T 细胞的进展和挑战。

展开英文摘要原文

Allogeneic stem cell transplant (ASCT) remains the only treatment option for patients with high-risk acute myeloid leukemia (AML). Recurrence of leukemic cells after ASCT represents a dramatic event associated with a dismal outcome, with a 2-year survival rate of around 20%. Adoptive cell therapy (ACT) is a form of cell-based strategy that has emerged as an effective therapy to treat and prevent post-ASCT recurrence.

Lymphocytes are the principal cells used in this therapy and can be derived from a hematopoietic stem cell donor, the patient themselves, or healthy donors, after being engineered to express the chimeric antigen receptor (CAR-T and UniCAR-T). In this review, we discuss recent advances in the established strategy of donor lymphocyte infusion (DLI) and the progress and challenges of CAR-T cells.

论文信息

作者
Canichella M、de Fabritiis P
单位
Hematology Unit, St. Eugenio Hospital, ASL Roma2, 00144 Rome, Italy.Italy
文献类型
综述
期刊
Biomedicines2024 Aug 1
原文标识
PubMed 39200186 · DOI 10.3390/biomedicines12081721