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同种异体嵌合抗原受体(CAR)作为多发性骨髓瘤的“现货型”疗法

英文原题:Allogeneic chimeric antigen receptors (CARs) as an "off-the-shelf" therapy in multiple myeloma.

查看英文原题

Allogeneic chimeric antigen receptors (CARs) as an "off-the-shelf" therapy in multiple myeloma.

PubMed 2025/02/17(内容时间) Immunotherapy Q3 · IF 2.3(JCR 2025)

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中文摘要

自体嵌合抗原受体(CAR)-T细胞的成功改变了复发/难治性多发性骨髓瘤(MM)的治疗格局,使CAR-T 细胞有可能前移至一线治疗。然而,该疗法最大的弱点之一是其自体性质,这使得治疗耗时、劳动密集,并依赖于患者T细胞的适应性。异体CAR的开发对于克服这些挑战并为患者提供 readily available 的现成替代方案至关重要。本综述将探讨异体CAR研究在MM中的当前格局和未来前景,审视临床前研究和正在进行的临床试验。更具体地说,它将聚焦于各种CAR细胞候选物的优缺点,包括CAR-T、CAR-NK和CAR-iNKT细胞,以及其他更新颖的候选物。

展开英文摘要原文

The success of autologous chimeric antigen receptor (CAR)-T cells has changed the treatment landscape in relapsed and refractory multiple myeloma (MM) resulting in potential movement of CAR-T cells to the frontline treatment setting.

However, one of the greatest weaknesses of this therapy is its autologous nature, which makes it time-consuming, labor intensive, and dependent on the patient's T cell fitness. The development of allogeneic CARs is critical to overcome these challenges and provide patients with an off-the-shelf alternative that is readily available.

This review will investigate the current landscape and future perspectives of allogeneic CAR research in MM, exploring both pre-clinical research and active clinical trials. More specifically, it will focus on the advantages and disadvantages of various CAR cellular candidates including CAR-T, CAR-NK, and CAR-iNKT cells, among other more novel candidates.

论文信息

作者
Carlson S、Lin TL、Larson SM
单位
Department of Medicine, Division of Hematology-Oncology, David Geffen School of Medicine at University of California, Los Angeles (UCLA), Los Angeles, CA, USA.United States
文献类型
综述
期刊
Immunotherapy2025 Feb
原文标识
PubMed 39961649 · DOI 10.1080/1750743X.2025.2461987