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

嵌合抗原受体 T 细胞(CAR-T)疗法在临床实践中的障碍。

Barriers to Chimeric Antigen Receptor T-Cell (CAR-T) Therapies in Clinical Practice.

机构信息

Cardinal Health, Dublin, OH, USA.

Hematology Oncology Associates of CNY, Syracuse, NY, USA.

出版信息

Pharmaceut Med. 2022 Jun;36(3):163-171. doi: 10.1007/s40290-022-00428-w. Epub 2022 Jun 7.


DOI:10.1007/s40290-022-00428-w
PMID:35672571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9217916/
Abstract

Chimeric antigen receptor T-cell (CAR-T) therapy is a revolutionary cancer treatment modality where a patient's own T cells are collected and engineered ex vivo to express a chimeric antigen receptor (CAR). These reprogrammed CAR-T cells, when reinfused into the same patient, stimulate a T-cell mediated immune response against the antigen-expressing malignant cells leading to cell death. The initial results from pivotal clinical trials of CAR-T agents have been promising, leading to multiple approvals in various hematologic malignancies in the relapsed setting, including acute lymphoblastic leukemia (ALL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma, follicular lymphoma, and, more recently, multiple myeloma. However, since the initial trials and US Food and Drug Administration approvals, there have been significant barriers to the widespread use of this therapy. The barriers to the use of CAR-T therapy include complex logistics, manufacturing limitations, toxicity concerns, and financial burden. This review discusses potential solutions to overcome these barriers in order to make this life-changing therapy widely accessible.

摘要

嵌合抗原受体 T 细胞(CAR-T)疗法是一种革命性的癌症治疗方法,在此方法中,患者自身的 T 细胞被采集并在体外进行工程改造,以表达嵌合抗原受体(CAR)。这些重编程的 CAR-T 细胞在重新输注到同一患者体内时,会刺激针对表达抗原的恶性细胞的 T 细胞介导的免疫反应,导致细胞死亡。CAR-T 药物的关键性临床试验的初步结果令人鼓舞,导致在复发环境下的多种血液恶性肿瘤中获得了多个批准,包括急性淋巴细胞白血病(ALL)、弥漫性大 B 细胞淋巴瘤(DLBCL)、套细胞淋巴瘤、滤泡性淋巴瘤,以及最近的多发性骨髓瘤。然而,自最初的试验和美国食品和药物管理局(FDA)批准以来,这种疗法的广泛应用存在着重大障碍。CAR-T 疗法的使用障碍包括复杂的物流、制造限制、毒性问题和经济负担。这篇综述讨论了克服这些障碍的潜在解决方案,以便使这种改变生活的疗法广泛普及。

相似文献

[1]
Barriers to Chimeric Antigen Receptor T-Cell (CAR-T) Therapies in Clinical Practice.

Pharmaceut Med. 2022-6

[2]
Chimeric antigen receptor (CAR) T therapies for the treatment of hematologic malignancies: clinical perspective and significance.

J Immunother Cancer. 2018-12-4

[3]
Chimeric antigen receptor T-cell therapy in hematologic malignancies: Successes, challenges, and opportunities.

Eur J Haematol. 2024-2

[4]
Clinical development of chimeric antigen receptor-T cell therapy for hematological malignancies.

Chin Med J (Engl). 2023-10-5

[5]
Recent advances in CAR T-cell toxicity: Mechanisms, manifestations and management.

Blood Rev. 2018-11-14

[6]
Understanding the Etiology of Pancytopenias in the CAR T-Cell Therapy Setting: What We Know and What We Don't?

Hematol Oncol Stem Cell Ther. 2022-11-25

[7]
Clinical practice: chimeric antigen receptor (CAR) T cells: a major breakthrough in the battle against cancer.

Clin Exp Med. 2020-11

[8]
Preclinical Evaluation of Allogeneic CAR T Cells Targeting BCMA for the Treatment of Multiple Myeloma.

Mol Ther. 2019-4-8

[9]
Overcoming Chimeric Antigen Receptor (CAR) Modified T-Cell Therapy Limitations in Multiple Myeloma.

Front Immunol. 2020

[10]
Risks and Benefits of Chimeric Antigen Receptor T-Cell (CAR-T) Therapy in Cancer: A Systematic Review and Meta-Analysis.

Transfus Med Rev. 2019-2-14

引用本文的文献

[1]
Targeted Therapies and Immunotherapies for Diffuse Large B-Cell Lymphoma.

Cancers (Basel). 2025-7-30

[2]
A novel pseudotype derived of the canine distemper virus for adapter-mediated lentiviral transduction .

Mol Ther Methods Clin Dev. 2025-7-3

[3]
JCMM Annual Review on Advances in Biotechnology for the Treatment of Haematological Malignancies: A Review of the Latest In-Patient Developments 2024-2025.

J Cell Mol Med. 2025-7

[4]
Indirect comparison of epcoritamab vs chemoimmunotherapy, mosunetuzumab, or odronextamab in follicular lymphoma.

Blood Adv. 2025-8-12

[5]
Multiple myeloma care, treatment patterns, and treatment durations in academic and community care settings.

Future Oncol. 2025-6

[6]
BCMA-targeted therapies in multiple myeloma: advances, challenges and future prospects.

Med Oncol. 2025-5-8

[7]
Surveying local CAR T-cell manufacturing processes to facilitate standardization and expand accessibility.

J Transl Med. 2025-5-6

[8]
Chidamide, a Histone Deacetylase Inhibitor, Combined With R-GemOx in Relapsed/Refractory Diffuse Large B-Cell Lymphoma (TRUST): A Multicenter, Single-Arm, Phase 2 Trial.

Cancer Med. 2025-5

[9]
Perspectives of Healthcare Providers and Patients with Relapsed/Refractory Multiple Myeloma on Treatment Priorities and Novel Therapies.

Patient Prefer Adherence. 2025-4-16

[10]
The Current State of Bispecific Antibodies and T-Cell Directed Therapy in NHL.

Cancers (Basel). 2025-3-31

本文引用的文献

[1]
Real-World Experiences of CAR T-Cell Therapy for Large B-Cell Lymphoma: How Similar Are They to the Prospective Studies?

J Immunother Precis Oncol. 2021-8-5

[2]
Axicabtagene Ciloleucel as Second-Line Therapy for Large B-Cell Lymphoma.

N Engl J Med. 2022-2-17

[3]
Ciltacabtagene autoleucel, a B-cell maturation antigen-directed chimeric antigen receptor T-cell therapy in patients with relapsed or refractory multiple myeloma (CARTITUDE-1): a phase 1b/2 open-label study.

Lancet. 2021-7-24

[4]
KTE-X19 for relapsed or refractory adult B-cell acute lymphoblastic leukaemia: phase 2 results of the single-arm, open-label, multicentre ZUMA-3 study.

Lancet. 2021-8-7

[5]
CAR-T cells: Early successes in blood cancer and challenges in solid tumors.

Acta Pharm Sin B. 2021-5

[6]
Balancing Quality, Cost, and Access During Delivery of Newer Cellular and Immunotherapy Treatments.

Curr Hematol Malig Rep. 2021-8

[7]
Perspectives on outpatient administration of CAR-T cell therapy in aggressive B-cell lymphoma and acute lymphoblastic leukemia.

J Immunother Cancer. 2021-4

[8]
KTE-X19 anti-CD19 CAR T-cell therapy in adult relapsed/refractory acute lymphoblastic leukemia: ZUMA-3 phase 1 results.

Blood. 2021-7-8

[9]
CAR-T cell therapy: current limitations and potential strategies.

Blood Cancer J. 2021-4-6

[10]
Idecabtagene Vicleucel in Relapsed and Refractory Multiple Myeloma.

N Engl J Med. 2021-2-25

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