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:Evolving CAR T-Cell Therapy to Overcome the Barriers in Treating Pediatric Central Nervous System Tumors.
CNS 肿瘤是儿童癌症相关死亡的首要原因,凸显了对新治疗策略的迫切需求。
中枢神经系统(CNS)肿瘤是儿童癌症相关死亡的首要原因,凸显了开发新治疗策略的迫切需求。CAR-T细胞提供了一种独特治疗方式,有别于数十年来主导临床试验的细胞毒性化疗和小分子抑制剂。1期CAR-T细胞试验已显示治疗儿童CNS肿瘤的可行性和潜在疗效;但若要使多数患病儿童获益,仍需克服诸多挑战。快速的转化研究和早期临床试验迅速加深了我们的认识,而目前儿童CNS CAR-T领域亟需深入评估,并开放讨论如何解决仍存障碍。
CNS tumors are the leading cause of cancer-related death in children, highlighting the dire need for new treatment strategies. CAR T cells represent a unique approach, distinct from the cytotoxic chemotherapies and small-molecule inhibitors that have dominated the clinical trial space for decades. Phase I CAR T-cell trials have shown feasibility and possible efficacy against pediatric CNS tumors; however, many challenges must be overcome if these therapeutics are going to be beneficial to most affected children. Although rapid translational development and early-phase trials have quickly evolved our understanding, the pediatric CNS CAR T-cell community now yearns for critical assessments and open dialogue about overcoming the remaining obstacles ahead.
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