Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.
Department of Oncology, Ansteel Group Hospital, Anshan, Liaoning 114000, China.
J Immunol Res. 2018 Apr 17;2018:2386187. doi: 10.1155/2018/2386187. eCollection 2018.
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.
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。
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