Department of Hematology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing, 210029, China.
Department of Medicine, Division of Hematology, Oncology and Blood and Marrow Transplantation and Holden Comprehensive Cancer Center, University of Iowa, 585 Newton Rd., Iowa City, IA, 52242, USA.
J Hematol Oncol. 2019 Nov 21;12(1):120. doi: 10.1186/s13045-019-0823-5.
Multiple myeloma (MM) is the second most common hematologic malignancy and remains incurable despite the advent of numerous new drugs such as proteasome inhibitors (PIs), immunomodulatory agents (IMiDs), and monoclonal antibodies. There is an unmet need to develop novel therapies for refractory/relapsed MM. In the past few years, chimeric antigen receptor (CAR)-modified T cell therapy for MM has shown promising efficacy in preclinical and clinical studies. Furthermore, the toxicities of CAR-T cell therapy are manageable. This article summarizes recent developments of CAR-T therapy in MM, focusing on promising targets, new technologies, and new research areas. Additionally, a comprehensive overview of antigen selection is presented along with preliminary results and future directions of CAR-T therapy development.
多发性骨髓瘤(MM)是第二大常见血液恶性肿瘤,尽管出现了许多新的药物,如蛋白酶体抑制剂(PIs)、免疫调节剂(IMiDs)和单克隆抗体,但仍无法治愈。对于难治性/复发性 MM,仍有未满足的治疗需求。在过去的几年中,嵌合抗原受体(CAR)修饰的 T 细胞疗法在 MM 的临床前和临床研究中显示出了有前景的疗效。此外,CAR-T 细胞疗法的毒性是可管理的。本文总结了 CAR-T 疗法在 MM 中的最新进展,重点介绍了有前途的靶点、新技术和新的研究领域。此外,还全面概述了抗原选择,并介绍了 CAR-T 疗法开发的初步结果和未来方向。