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:Unveiling the potential of CLL-1: a promising target for AML therapy.
急性髓系白血病(AML)仍然是一种难治的血液癌症,尽管近期治疗取得了进展。
急性髓系白血病(AML)仍然是一种难以攻克的血癌,尽管近年来治疗取得了进展。在改善患者预后方面仍存在重大挑战,尤其是在应对复发和治疗耐药方面。识别新的治疗靶点对于推进AML治疗至关重要。C型凝集素样分子-1(CLL-1)已成为AML中一个有前景的治疗靶点。这种细胞表面受体在AML原始细胞上高表达,并在疾病进展过程中表现出稳定的表达。CLL-1的持续存在使其成为监测微小残留病(MRD)的理想候选标志物,而MRD是预测复发的关键指标。除了作为诊断标志物的用途外,CLL-1在免疫治疗开发中也展现出令人振奋的潜力。新兴策略,如CAR-T细胞疗法和抗体药物偶联物(ADCs),正在被研究以利用免疫系统对抗表达CLL-1的AML细胞。本综述探讨了CLL-1在AML和其他血液系统恶性肿瘤中的结构、功能和表达模式,为其在疾病发病机制和治疗潜力中的作用提供了见解。探索CLL-1作为诊断、MRD监测和免疫治疗的靶点,为AML治疗开辟了新途径。更深入地理解其与AML发病机制的关系将有助于靶向治疗的开发,为未来改善患者预后带来希望。
Acute myeloid leukemia (AML) remains a formidable blood cancer, despite recent advances in treatment. A significant challenge persists in improving patient outcomes, particularly in addressing relapse and treatment resistance. Identifying new therapeutic targets is critical for advancing AML therapy. C-type lectin-like molecule-1 (CLL-1) has emerged as a promising therapeutic target in AML. This cell surface receptor is highly expressed on AML blasts and demonstrates stable expression throughout disease progression. CLL-1's consistent presence makes it an ideal candidate for monitoring minimal residual disease (MRD), which is a critical indicator for predicting relapse. Beyond its utility as a diagnostic marker, CLL-1 offers exciting potential in the development of immunotherapies. Emerging strategies, such as CAR-T-cell therapy and antibody-drug conjugates (ADCs), are being investigated to leverage the immune system against CLL-1-expressing AML cells. This review examines the structure, function, and expression patterns of CLL-1 in AML and other hematologic malignancies, providing insights into its role in disease pathogenesis and treatment potential. Exploring CLL-1 as a target for diagnosis, MRD monitoring, and immunotherapy opens new avenues for AML treatment. A deeper understanding of its relationship with AML pathogenesis will aid in the development of targeted therapies, offering hope for improved patient outcomes in the future.
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