Yasukawa Masaki
Department of Bioregulatory Medicine, Ehime University Graduate School of Medicine.
Nihon Rinsho. 2009 Oct;67(10):1938-43.
To develop effective cellular immunotherapy for hematopoietic malignancies, the tumor-associated antigens that are recognized by cytotoxic T lymphocytes (CTL) must be identified. Recently, various leukaemia-associated antigens that are recognized by CTL in the context of HLA class I molecules have been identified. These include fusion gene products such as BCR-ABL and ETV6-AML1, proteinase 3, WT1, human telomerase reverse transcriptase, cyclophilin B, and PRAME. In addition, various target antigens associated with other hematopoietic malignancies have been also identified. On the basis of these findings, various clinical trials of immunotherapy for hematological malignancies, including peptide vaccination, dendritic cell therapy, adoptive transfer of CTL, T-cell receptor gene therapy have been ongoing. Here, the current status and future feasibility of cellular immunotherapy for leukemia are discussed.
为开发针对造血系统恶性肿瘤的有效细胞免疫疗法,必须鉴定出细胞毒性T淋巴细胞(CTL)所识别的肿瘤相关抗原。最近,已鉴定出在HLA I类分子背景下被CTL识别的多种白血病相关抗原。这些包括融合基因产物,如BCR-ABL和ETV6-AML1、蛋白酶3、WT1、人端粒酶逆转录酶、亲环蛋白B和PRAME。此外,还鉴定出了与其他造血系统恶性肿瘤相关的各种靶抗原。基于这些发现,包括肽疫苗接种、树突状细胞疗法、CTL过继转移、T细胞受体基因疗法在内的各种血液系统恶性肿瘤免疫疗法的临床试验一直在进行。在此,讨论白血病细胞免疫疗法的现状和未来可行性。