Zhang Fang-Rong, Li Xin, Liu Jing
Department of Hematology, Xiangya Third Hospital, Central South University, Changsha 410013,Hunan Province,China.
Department of Hematology, Xiangya Third Hospital, Central South University, Changsha 410013,Hunan Province,China,E-mail:
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2019 Aug;27(4):1316-1320. doi: 10.19746/j.cnki.issn.1009-2137.2019.04.053.
Abstract Chimeric antigen receptor-T cell(CAR-T) is a kind of genetically engineered T cells that can express tumor antigen-specific receptors on its surface, and the modified T cells can be used for cancer therapy through targeting malignant tumor cells with its specific receptor and killing tumor cells with its cytotoxicity. CAR-T has been successfully applied to treat various hematological malignancies, such as ALL, CLL, NHL and MM. It is a feasible treatment for relapsed and refractory multiple myeloma (RRMM). The achievements of CAR-T in clinical trials have been widely reported, which is expected to be a therapy to prolong patients survival. In this review, the clinical application of CAR-T in the treatment of RRMM from the following aspects:different types of CAR-T and its curative efficacy, adverse effects, opportunities and challenges are summarized beriefly.
摘要 嵌合抗原受体T细胞(CAR-T)是一种经基因工程改造的T细胞,可在其表面表达肿瘤抗原特异性受体,经改造的T细胞能够通过其特异性受体靶向恶性肿瘤细胞,并利用其细胞毒性杀伤肿瘤细胞。CAR-T已成功应用于治疗多种血液系统恶性肿瘤,如急性淋巴细胞白血病(ALL)、慢性淋巴细胞白血病(CLL)、非霍奇金淋巴瘤(NHL)和多发性骨髓瘤(MM)。它是复发难治性多发性骨髓瘤(RRMM)的一种可行治疗方法。CAR-T在临床试验中的成果已得到广泛报道,有望成为一种延长患者生存期的疗法。在本综述中,将从以下方面简要总结CAR-T在RRMM治疗中的临床应用:不同类型的CAR-T及其疗效、不良反应、机遇和挑战。