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BCMA 靶向 CAR-T 免疫疗法治疗多发性骨髓瘤和复发性/难治性多发性骨髓瘤概述。

Overview of anti-BCMA CAR-T immunotherapy for multiple myeloma and relapsed/refractory multiple myeloma.

机构信息

Department of Molecular and Cellular Pharmacology, School of Pharmaceutical Science and Technology, Tianjin University, Tianjin, China.

出版信息

Scand J Immunol. 2020 Aug;92(2):e12910. doi: 10.1111/sji.12910. Epub 2020 Jun 17.

Abstract

Multiple myeloma (MM) is a haematological malignancy caused by malignant proliferation of plasma cells in bone marrow. In recent years, MM patients are commonly treated with chemotherapy, autologous stem cell transplantation, protease inhibitors, immunomodulatory drugs and monoclonal antibodies, however most patients eventually relapse. Therefore, more effective therapies are highly needed. Anti-BCMA CAR-T therapy, a novel and efficacious method for treating MM and relapsed/refractory multiple myeloma (RRMM), has been designed and applied in clinics. The CAR-T can specifically recognize the targeted molecule B cell maturation antigen (BCMA) and kill MM cells expressing BCMA and several clinical trials have revealed high response rates in the therapy. Herein, we summarize the developments, the current design and clinical trials, the side effects of anti-BCMA CAR-T therapy and comparison of it with other CAR-T therapies.

摘要

多发性骨髓瘤(MM)是一种血液系统恶性肿瘤,由骨髓中浆细胞的恶性增殖引起。近年来,MM 患者通常采用化疗、自体造血干细胞移植、蛋白酶抑制剂、免疫调节剂和单克隆抗体进行治疗,但大多数患者最终仍会复发。因此,非常需要更有效的治疗方法。抗 BCMA CAR-T 疗法是一种治疗 MM 和复发/难治性多发性骨髓瘤(RRMM)的新型有效方法,已在临床上设计和应用。CAR-T 可以特异性识别靶向分子 B 细胞成熟抗原(BCMA),并杀死表达 BCMA 的 MM 细胞,几项临床试验显示该疗法具有很高的反应率。本文综述了抗 BCMA CAR-T 疗法的发展、当前设计和临床试验、副作用以及与其他 CAR-T 疗法的比较。

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