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嵌合抗原受体修饰 T 细胞过继免疫疗法治疗血液系统恶性肿瘤。

Adoptive therapy with CAR redirected T cells for hematological malignancies.

机构信息

Institute of Pathology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China.

出版信息

Sci China Life Sci. 2016 Apr;59(4):370-8. doi: 10.1007/s11427-016-5036-3. Epub 2016 Mar 22.

Abstract

The survival of patients with hematological malignancies has been significantly improved due to the development of new therapeutic agents. However, relapse remains a major matter for concern. Recently, T cells engineered with chimeric antigen receptor (CAR) were reported to show unprecedented responses in a range of hematological malignancies. The persistence of the CAR-T cell can last for years and tends toward long-term antitumor memory by which relapses can be effectively prevented. The primary side effects that appear in most clinical trials are cytokine release syndrome and neurotoxicity. However, these symptoms can be treated and reversed. In this review, we describe CAR structure and function and summarize recent advances in CAR-T cell therapy in hematological malignancies.

摘要

由于新的治疗药物的发展,血液系统恶性肿瘤患者的生存率得到了显著提高。然而,复发仍然是一个主要关注点。最近,嵌合抗原受体(CAR)修饰的 T 细胞在一系列血液系统恶性肿瘤中显示出前所未有的反应,引起了广泛关注。CAR-T 细胞的持久性可以持续数年,并倾向于产生长期抗肿瘤记忆,从而可以有效地预防复发。大多数临床试验中出现的主要副作用是细胞因子释放综合征和神经毒性。然而,这些症状是可以治疗和逆转的。在这篇综述中,我们描述了 CAR 的结构和功能,并总结了 CAR-T 细胞治疗血液系统恶性肿瘤的最新进展。

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