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:The Current Landscape and Prospects of iPSCs in BCMA-targeted Therapy for Multiple Myeloma.
多发性骨髓瘤(MM)是一种难以治疗的血浆细胞恶性肿瘤,其发病机制具有异质性,且预后不良。
多发性骨髓瘤(MM)是一种难以治疗的血浆细胞恶性肿瘤,其发病机制具有异质性,预后较差。鉴于现有治疗的局限性,开发能够提高疗效和安全性、最终实现MM长期缓解甚至治愈的方法至关重要。B细胞成熟抗原(BCMA)在恶性浆细胞(PCs)上的高表达使BCMA成为MM的重要治疗靶点。靶向BCMA的治疗已在MM治疗中取得重大进展。在此,我们总结传统方案及其局限性,并探讨受限的细胞来源、治疗耐药和毒性如何影响治疗结局。为应对这些局限性,MM治疗已进入靶向治疗和免疫治疗时代;尽管CAR-T疗法可以诱导深度且持久的缓解,但仍存在未满足的临床需求。
Multiple Myeloma (MM) is a difficult-to-treat plasma-cell malignancy with heterogeneous pathogenesis and a poor prognosis. Given the limitations of existing treatments, developing approaches that improve efficacy and safety and ultimately achieve long-term remission or even a cure for MM is crucial. The high expression of B-Cell Maturation Antigen (BCMA) on malignant Plasma Cells (PCs) makes BCMA an important therapeutic target in MM. BCMA-targeted therapies have produced major advances in the treatment of MM. Here, we summarize conventional regimens and their limitations and examine how restricted cell sources, treatment resistance, and toxicity affect therapeutic outcomes. To address these limitations, MM treatment has entered an era of targeted therapy and immunotherapy; even though CAR-T therapy can induce deep and durable remissions, there are still unmet clinical needs. Induced pluripotent stem cell (iPSC)-based therapies are expected to provide more effective treatment options for MM patients through strategies such as large-scale production of off-the-shelf engineered immune cells and combined therapy.
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