嵌合抗原受体 T 细胞治疗急性髓系白血病。
CD7 CAR T Cells for the Therapy of Acute Myeloid Leukemia.
机构信息
Center for Cell and Gene Therapy, Baylor College of Medicine, Texas Children's Hospital, Houston Methodist Hospital, Houston, TX 77030, USA; Department of Bioengineering and Institute for Bioengineering and Biosciences, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal.
Center for Cell and Gene Therapy, Baylor College of Medicine, Texas Children's Hospital, Houston Methodist Hospital, Houston, TX 77030, USA.
出版信息
Mol Ther. 2019 Jan 2;27(1):272-280. doi: 10.1016/j.ymthe.2018.10.001. Epub 2018 Oct 4.
Chimeric antigen receptor (CAR) T cell therapy for the treatment of acute myeloid leukemia (AML) has the risk of toxicity to normal myeloid cells. CD7 is expressed by the leukemic blasts and malignant progenitor cells of approximately 30% of AML patients but is absent on normal myeloid and erythroid cells. Since CD7 expression by malignant blasts is also linked with chemoresistance and poor outcomes, targeting this antigen may be beneficial for this subset of AML patients. Here, we show that expression of a CD7-directed CAR in CD7 gene-edited (CD7) T cells effectively eliminates CD7 AML cell lines, primary CD7 AML, and colony-forming cells but spares myeloid and erythroid progenitor cells and their progeny. In a xenograft model, CD7 CAR T cells protect mice against systemic leukemia, prolonging survival. Our results support the feasibility of using CD7 CD7 CAR T cells for the non-myeloablative treatment of CD7 AML.
嵌合抗原受体 (CAR) T 细胞疗法治疗急性髓细胞白血病 (AML) 存在对正常髓细胞毒性的风险。CD7 在约 30%的 AML 患者的白血病原始细胞和恶性祖细胞中表达,但不存在于正常髓细胞和红细胞中。由于恶性原始细胞的 CD7 表达也与化疗耐药和不良预后相关,因此靶向该抗原可能对这部分 AML 患者有益。在这里,我们表明,在 CD7 基因编辑 (CD7) T 细胞中表达 CD7 靶向 CAR 可有效消除 CD7 AML 细胞系、原发性 CD7 AML 和集落形成细胞,但保留髓系和红细胞祖细胞及其后代。在异种移植模型中,CD7 CAR T 细胞可保护小鼠免受系统性白血病的侵害,延长其存活时间。我们的结果支持使用 CD7 CD7 CAR T 细胞进行非清髓性治疗 CD7 AML 的可行性。
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