急性髓细胞白血病的细胞治疗:现状与未来展望。
Cellular therapy for acute myeloid Leukemia - Current status and future prospects.
机构信息
Department of Stem Cell Transplantation and Cellular Therapy, the University of Texas MD Anderson Cancer Center, Houston, TX, United States of America; Department of Medicine, Thammasat University Hospital, Pathumthani, Thailand.
Imperial College London, London, United Kingdom.
出版信息
Blood Rev. 2019 Sep;37:100578. doi: 10.1016/j.blre.2019.05.002. Epub 2019 May 11.
Acute myeloid leukemia (AML) is a disease most commonly affecting older individuals with a high mortality. Despite the recent introduction of many novel agents, only a few were shown to significantly impact the outcome of this disease. Recent advances using chimeric antigen receptor (CAR) T-cells for B-cell acute lymphoblastic leukemia and non-Hodgkin's lymphoma have generated a tremendous interest for this strategy. Moreover, early results using high-dose natural killer (NK) cell therapy show promise for the treatment of patients with advanced AML. Other cell products like cytokine-induced killers (CIK) or CAR T-cells targeting CD33 or CD123 surface antigens are being developed. NK-cells expressing a CAR against myeloid antigens may combine the benefits of targeting AML cells with NK cell mediated killing. It is unknown whether such approaches targeting AML will spare normal hematopoiesis or would need to be used in combination with hematopoietic stem cell transplantation. Here we review the current state of cell therapy for patients with AML and consider future prospects.
急性髓系白血病(AML)是一种常见于老年人的疾病,死亡率较高。尽管最近引入了许多新型药物,但只有少数药物被证明能显著改善这种疾病的预后。嵌合抗原受体(CAR)T 细胞在 B 细胞急性淋巴细胞白血病和非霍奇金淋巴瘤中的应用进展,为这一策略带来了巨大的兴趣。此外,高剂量自然杀伤(NK)细胞治疗的早期结果显示出对治疗晚期 AML 患者的希望。其他细胞产品,如靶向 CD33 或 CD123 表面抗原的细胞因子诱导的杀伤细胞(CIK)或 CAR T 细胞,正在开发中。表达针对髓样抗原的 CAR 的 NK 细胞可能将针对 AML 细胞的靶向治疗与 NK 细胞介导的杀伤相结合。目前尚不清楚针对 AML 的这些方法是否会保留正常造血,或者是否需要与造血干细胞移植联合使用。本文综述了 AML 患者细胞治疗的现状,并探讨了未来的前景。