Fu Zexin, Zhou Jinlei, Chen Rui, Jin Yihua, Ni Ting, Qian Lingbo, Xiao Chi
School of Basic Medical Sciences and Forensic Medicine, Hangzhou Medical College, Hangzhou, Zhejiang 310053, P.R. China.
Department of Clinical Medicine, Hangzhou Medical College, Hangzhou, Zhejiang 310053, P.R. China.
Oncol Lett. 2020 Oct;20(4):36. doi: 10.3892/ol.2020.11897. Epub 2020 Jul 22.
Chimeric antigen receptor (CAR) T cells have an unprecedented positive curative effect for hematological malignances. Most notably, cluster of differentiation 19 (CD19) CAR T-cell therapy for pediatric acute lymphoblastic leukemia is associated with a high complete remission rate and has aroused considerable attention in the medical field. However, it also causes a series of adverse reactions and increases the risk of recurrence. The present review examines the results of CD19 CAR T-cell therapy and lists its adverse effects. In addition, some of the mechanisms of recurrence are characterized and applicable strategies to address this challenging problem are proposed.
嵌合抗原受体(CAR)T细胞对血液系统恶性肿瘤具有前所未有的积极治疗效果。最值得注意的是,针对小儿急性淋巴细胞白血病的分化簇19(CD19)CAR T细胞疗法具有较高的完全缓解率,在医学领域引起了广泛关注。然而,它也会引发一系列不良反应并增加复发风险。本综述探讨了CD19 CAR T细胞疗法的结果并列出了其不良反应。此外,还对一些复发机制进行了描述,并提出了应对这一挑战性问题的适用策略。