文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

同种异体嵌合抗原受体疗法治疗淋巴瘤。

Allogeneic Chimeric Antigen Receptor Therapy in Lymphoma.

机构信息

Division of Hematology, Mayo Clinic, 200 First Street, SW, Rochester, MN, 55905, USA.

出版信息

Curr Treat Options Oncol. 2022 Feb;23(2):171-187. doi: 10.1007/s11864-021-00920-6. Epub 2022 Feb 25.


DOI:10.1007/s11864-021-00920-6
PMID:35212892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8873350/
Abstract

The therapeutic armamentarium has significantly expanded since the approval of various CD19-targeting chimeric antigen receptor T cell (CAR-T) therapies in non-Hodgkin lymphoma (NHL). These CAR-Ts are patient-specific and require a complex, resource, and time-consuming process. While this appears promising, autologous CAR-Ts are limited due to the lack of accessibility, manufacturing delays, and variable product quality. To overcome these, allogeneic (allo) CARs from healthy donors appear appealing. These can be immediately available as "off the shelf" ready-to-use products of standardized and superior quality exempt from the effects of an immunosuppressive tumor microenvironment and prior treatments, and potentially with lower healthcare utilization using industrialized scale production. Allogeneic CARs, however, are not devoid of complications and require genomic editing, especially with αβ T cells to avoid graft versus host disease (GvHD) and allo-rejection by the recipient's immune system. Tools for genomic editing such as TALEN and CRISPR provide promise to develop truly "off the shelf" universal CARs and further advance the field of cellular immunotherapy. Several allogeneic CARs are currently in early phase clinical trials, and preliminary data is encouraging. Longer follow-up is required to truly assess the feasibility and safety of these techniques in the patients. This review focuses on the strategies for developing allogeneic CARs along with cell sources and clinical experience thus far in lymphoma.

摘要

自各种针对非霍奇金淋巴瘤 (NHL) 的 CD19 靶向嵌合抗原受体 T 细胞 (CAR-T) 疗法获得批准以来,治疗手段有了显著的扩展。这些 CAR-T 是针对患者个体的,需要一个复杂、资源密集且耗时的过程。虽然这看起来很有前途,但由于不可及性、制造延迟和产品质量的变化,自体 CAR-T 受到限制。为了克服这些限制,来自健康供体的同种异体 (allo) CAR 似乎很有吸引力。这些可以立即作为“现成的”即用型产品使用,具有标准化和更高质量,不受免疫抑制肿瘤微环境和先前治疗的影响,并且可能通过工业化规模生产降低医疗保健利用率。然而,同种异体 CAR 并非没有并发症,需要基因组编辑,特别是对于 αβ T 细胞,以避免移植物抗宿主病 (GvHD) 和受者免疫系统的同种异体排斥。基因组编辑工具,如 TALEN 和 CRISPR,为开发真正的“现成的”通用 CAR 并进一步推进细胞免疫治疗领域提供了希望。目前有几种同种异体 CAR 处于早期临床试验阶段,初步数据令人鼓舞。需要更长时间的随访才能真正评估这些技术在患者中的可行性和安全性。本综述重点介绍了开发同种异体 CAR 的策略,以及迄今为止在淋巴瘤中使用的细胞来源和临床经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07f7/8917034/6bca81b16458/11864_2021_920_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07f7/8917034/6bca81b16458/11864_2021_920_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07f7/8917034/6bca81b16458/11864_2021_920_Fig1_HTML.jpg

相似文献

[1]
Allogeneic Chimeric Antigen Receptor Therapy in Lymphoma.

Curr Treat Options Oncol. 2022-2

[2]
Preclinical Evaluation of Allogeneic CAR T Cells Targeting BCMA for the Treatment of Multiple Myeloma.

Mol Ther. 2019-4-8

[3]
Custom CARs: Leveraging the Adaptability of Allogeneic CAR Therapies to Address Current Challenges in Relapsed/Refractory DLBCL.

Front Immunol. 2022

[4]
Safety of allogeneic hematopoietic cell transplant in adults after CD19-targeted CAR T-cell therapy.

Blood Adv. 2019-10-22

[5]
Chimeric Antigen Receptor T Cell Therapy for Acute Lymphoblastic Leukemia.

Curr Treat Options Oncol. 2020-2-5

[6]
Potential alternatives to αβ-T cells to prevent graft-versus-host disease (GvHD) in allogeneic chimeric antigen receptor (CAR)-based cancer immunotherapy: A comprehensive review.

Pathol Res Pract. 2024-10

[7]
Donor CD19 CAR T cells exert potent graft-versus-lymphoma activity with diminished graft-versus-host activity.

Nat Med. 2017-2

[8]
Hypoimmune anti-CD19 chimeric antigen receptor T cells provide lasting tumor control in fully immunocompetent allogeneic humanized mice.

Nat Commun. 2023-4-10

[9]
Paediatric Strategy Forum for medicinal product development of chimeric antigen receptor T-cells in children and adolescents with cancer: ACCELERATE in collaboration with the European Medicines Agency with participation of the Food and Drug Administration.

Eur J Cancer. 2022-1

[10]
Chimeric Antigen Receptor T Cell Therapy Targeting CD19-Positive Leukemia and Lymphoma in the Context of Stem Cell Transplantation.

Hum Gene Ther. 2016-10

引用本文的文献

[1]
CAR T-cell therapy for B-cell lymphomas: outcomes and resistance mechanisms.

Cancer Metastasis Rev. 2024-12-1

[2]
The future of immunotherapy for diffuse large B-cell lymphoma.

Int J Cancer. 2025-1-15

[3]
Several factors that predict the outcome of large B-cell lymphoma patients who relapse/progress after chimeric antigen receptor (CAR) T-cell therapy can be identified before cell administration.

Cancer Med. 2024-9

[4]
Recent updates on allogeneic CAR-T cells in hematological malignancies.

Cancer Cell Int. 2024-9-3

[5]
Beyond Chemotherapy: Present and Future Perspectives in the Treatment of Lymphoproliferative Disorders.

Biomedicines. 2024-4-29

[6]
Chimeric Antigen Receptor-T Cell Therapy for Lymphoma: New Settings and Future Directions.

Cancers (Basel). 2023-12-21

[7]
"Off-the-Shelf" Allogeneic CAR Cell Therapy-Neglected HvG Effect.

Curr Treat Options Oncol. 2023-5

[8]
Adoptive cellular immunotherapy for solid neoplasms beyond CAR-T.

Mol Cancer. 2023-2-7

[9]
The role of CAR-T cell therapy as second line in diffuse large B-cell lymphoma.

Ther Adv Hematol. 2022-12-6

[10]
CAR T-Based Therapies in Lymphoma: A Review of Current Practice and Perspectives.

Biomedicines. 2022-8-12

本文引用的文献

[1]
CRISPR Takes the Front Seat in CART-Cell Development.

BioDrugs. 2021-3

[2]
Genome-edited, donor-derived allogeneic anti-CD19 chimeric antigen receptor T cells in paediatric and adult B-cell acute lymphoblastic leukaemia: results of two phase 1 studies.

Lancet. 2020-12-12

[3]
Tumor burden, inflammation, and product attributes determine outcomes of axicabtagene ciloleucel in large B-cell lymphoma.

Blood Adv. 2020-10-13

[4]
Lisocabtagene maraleucel for patients with relapsed or refractory large B-cell lymphomas (TRANSCEND NHL 001): a multicentre seamless design study.

Lancet. 2020-9-1

[5]
Gamma-Delta CAR-T Cells Show CAR-Directed and Independent Activity Against Leukemia.

Front Immunol. 2020

[6]
Axicabtagene Ciloleucel in the Non-Trial Setting: Outcomes and Correlates of Response, Resistance, and Toxicity.

J Clin Oncol. 2020-9-20

[7]
Bridging therapy prior to axicabtagene ciloleucel for relapsed/refractory large B-cell lymphoma.

Blood Adv. 2020-7-14

[8]
Standard-of-Care Axicabtagene Ciloleucel for Relapsed or Refractory Large B-Cell Lymphoma: Results From the US Lymphoma CAR T Consortium.

J Clin Oncol. 2020-9-20

[9]
Genetic Ablation of HLA Class I, Class II, and the T-cell Receptor Enables Allogeneic T Cells to Be Used for Adoptive T-cell Therapy.

Cancer Immunol Res. 2020-7

[10]
KTE-X19 CAR T-Cell Therapy in Relapsed or Refractory Mantle-Cell Lymphoma.

N Engl J Med. 2020-4-2

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索