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嵌合抗原受体修饰 T 细胞免疫治疗:毒性反应及克服策略。

Immunotherapy with CAR-Modified T Cells: Toxicities and Overcoming Strategies.

机构信息

Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.

Department of Oncology, Ansteel Group Hospital, Anshan, Liaoning 114000, China.

出版信息

J Immunol Res. 2018 Apr 17;2018:2386187. doi: 10.1155/2018/2386187. eCollection 2018.


DOI:10.1155/2018/2386187
PMID:29850622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5932485/
Abstract

T cells modified via chimeric antigen receptors (CARs) have emerged as a promising treatment modality. Unparalleled clinical efficacy recently demonstrated in refractory B-cell malignancy has brought this new form of adoptive immunotherapy to the center stage. Nonetheless, its current success has also highlighted its potential treatment-related toxicities. The adverse events observed in the clinical trials are described in this review, after which, some innovative strategies developed to overcome these unwanted toxicities are outlined, including suicide genes, targeted activation, and other novel strategies.

摘要

嵌合抗原受体 (CAR) 修饰的 T 细胞已成为一种很有前途的治疗方法。最近在难治性 B 细胞恶性肿瘤中显示出无与伦比的临床疗效,使这种新形式的过继免疫疗法成为关注焦点。然而,其目前的成功也突显了其潜在的治疗相关毒性。本文综述了临床试验中观察到的不良事件,之后概述了为克服这些不良毒性而开发的一些创新策略,包括自杀基因、靶向激活和其他新策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddef/5932485/993312ad8914/JIR2018-2386187.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddef/5932485/4a678f8bcd38/JIR2018-2386187.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddef/5932485/982ecbc27067/JIR2018-2386187.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddef/5932485/993312ad8914/JIR2018-2386187.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddef/5932485/4a678f8bcd38/JIR2018-2386187.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddef/5932485/982ecbc27067/JIR2018-2386187.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddef/5932485/993312ad8914/JIR2018-2386187.003.jpg

相似文献

[1]
Immunotherapy with CAR-Modified T Cells: Toxicities and Overcoming Strategies.

J Immunol Res. 2018-4-17

[2]
Adoptive T-cell therapy of B-cell malignancies: conventional and physiological chimeric antigen receptors.

Cancer Lett. 2011-10-29

[3]
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[4]
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Sci China Life Sci. 2016-3-11

[5]
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Sci China Life Sci. 2016-3-24

[6]
Current strategies to improve the safety of chimeric antigen receptor (CAR) modified T cells.

Immunol Lett. 2017-8-29

[7]
Establishing guidelines for CAR-T cells: challenges and considerations.

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[8]
Axicabtagene ciloleucel for the treatment of relapsed/refractory B-cell non-Hodgkin's lymphomas.

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[9]
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[10]
Current status and regulatory perspective of chimeric antigen receptor-modified T cell therapeutics.

Arch Pharm Res. 2016-2-19

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Divergent on-target off-tumor effects by CAR T and CAR NK cells suggest different efficacy and safety of cell therapies.

Oncoimmunology. 2025-12

[2]
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Med Oncol. 2025-7-25

[3]
Deep Exploration of the Immunopeptidome of a Pancreatic Cancer Cell Line: Implications for Clinical Immunopeptidomics and Immunotherapy.

Mol Cell Proteomics. 2025-7-8

[4]
The challenges and progress of CAR-T cell therapy in the treatment of solid tumors.

Mol Cell Biochem. 2025-6-23

[5]
New player in CAR-T manufacture field: comparison of umbilical cord to peripheral blood strategies.

Front Immunol. 2025-3-21

[6]
Mitigation and Management of Common Toxicities Associated with the Administration of CAR-T Therapies in Oncology Patients.

Drug Saf. 2025-3-19

[7]
Developing and validating a prognostic disulfidptosis-related signature for glioblastoma: predicting radioresistance and synergestic effect with immunotherapy.

J Cancer Res Clin Oncol. 2025-3-18

[8]
Advances and prospects of RNA delivery nanoplatforms for cancer therapy.

Acta Pharm Sin B. 2025-1

[9]
Targeted Cellular Treatment of Systemic Lupus Erythematosus.

Cells. 2025-1-31

[10]
Cardiotoxic Effects Following CAR-T Cell Therapy: A Literature Review.

Curr Oncol Rep. 2025-2

本文引用的文献

[1]
Checkpoint inhibitors in hematological malignancies.

J Hematol Oncol. 2017-5-8

[2]
Immunotherapy in hematologic malignancies: past, present, and future.

J Hematol Oncol. 2017-4-24

[3]
Neurological toxicities and coagulation disorders in the cytokine release syndrome during CAR-T therapy.

Br J Haematol. 2018-6

[4]
Chimeric antigen receptor T cells: a novel therapy for solid tumors.

J Hematol Oncol. 2017-3-29

[5]
Development of CAR T cells designed to improve antitumor efficacy and safety.

Pharmacol Ther. 2017-3-22

[6]
Targeting of Aberrant αvβ6 Integrin Expression in Solid Tumors Using Chimeric Antigen Receptor-Engineered T Cells.

Mol Ther. 2017-1-4

[7]
A new insight in chimeric antigen receptor-engineered T cells for cancer immunotherapy.

J Hematol Oncol. 2017-1-3

[8]
In Vitro Pre-Clinical Validation of Suicide Gene Modified Anti-CD33 Redirected Chimeric Antigen Receptor T-Cells for Acute Myeloid Leukemia.

PLoS One. 2016-12-1

[9]
Targeted antibody-mediated depletion of murine CD19 CAR T cells permanently reverses B cell aplasia.

J Clin Invest. 2016-11-1

[10]
Engineering T Cells with Customized Therapeutic Response Programs Using Synthetic Notch Receptors.

Cell. 2016-10-6

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