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TCR-T 细胞治疗 AML/MDS 的现状与挑战

英文原题:Current status and challenges of TCR-T cell therapy for AML/MDS.

查看英文原题

Current status and challenges of TCR-T cell therapy for AML/MDS.

PubMed 2026/06/18(内容时间) Int J Hematol Q3 · IF 1.9(JCR 2025)

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中文摘要

尽管近期有新型药物进入临床,急性髓系白血病(AML)和骨髓增生异常综合征(MDS)的生存率仍不理想,因此亟需开发作用机制不同的新策略。由于缺乏广泛且均一表达的细胞表面靶点,且患者资格还受到HLA限制,AML/MDS免疫治疗的可行性低于B细胞恶性肿瘤。根据AML/MDS细胞中靶抗原的高水平且均一表达谨慎选择患者,可能有助于作为生物标志物。本综述首先介绍T细胞受体(TCR)T细胞疗法的开发流程,随后回顾近期临床试验及未来展望。

展开英文摘要原文

Although novel drugs have recently been introduced in the clinic, the survival rates of acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS) are not yet satisfactory; thus, developing novel strategies with different modes of action is urgently needed. Immunotherapy against AML/MDS is less feasible than that for B-cell malignancies because commonly and uniformly expressed cell-surface targets are lacking, and HLA constraints further limit patient eligibility.

Careful patient selection based on high and homogeneous target antigen expression in AML/MDS cells may serve as a biomarker. In this review, we first describe T-cell receptor (TCR) T-cell therapy development processes, then review recent clinical trials and future perspectives.

论文信息

作者
Akatsuka Y
单位
Department of Immunology, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, Japan. yos-akatsuk@umin.ac.jp.Japan
文献类型
综述
期刊
International journal of hematology2026 Jun 18
原文标识
PubMed 42315760 · DOI 10.1007/s12185-026-04239-6