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[嵌合抗原受体T细胞疗法治疗急性髓系白血病的现状与未来展望]

[Current status and future perspective of CAR T-cell therapy for acute myeloid leukemia].

作者信息

Nakazawa Yozo

机构信息

Department of Pediatrics, Shinshu University School of Medicine.

出版信息

Rinsho Ketsueki. 2022;63(10):1446-1453. doi: 10.11406/rinketsu.63.1446.

Abstract

For over a decade, various chimeric antigen receptor (CAR)-modified T-cells targeting myeloid antigens have been researched and developed overseas for relapsed/refractory acute myeloid leukemia (AML). However, none of them is domestically and internationally nearing approval. Clinical trial results on CAR T-cells targeting LeY, CD33, NKG2D ligands, CD38, or CD123 have been reported; however, they have not shown significant clinical benefit. More recently, several promising studies in CLL1 CAR T-cells have been reported in China, which attracted attention. We started a first-in-human clinical trial of GMR CAR T-cells in patients with CD116-positive myeloid neoplasms, particularly AML and juvenile myelomonocytic leukemia, in 2021. CAR T-cells can be a promising and practical treatment option for patients with relapsed/refractory AML.

摘要

十多年来,针对复发/难治性急性髓系白血病(AML),海外一直在研究和开发各种靶向髓系抗原的嵌合抗原受体(CAR)修饰的T细胞。然而,它们在国内和国际上都尚未接近获批。已有关于靶向LeY、CD33、NKG2D配体、CD38或CD123的CAR T细胞的临床试验结果报道;然而,这些结果并未显示出显著的临床益处。最近,中国有几项关于CLL1 CAR T细胞的有前景的研究报道,引起了关注。2021年,我们启动了针对CD116阳性髓系肿瘤患者,特别是AML和青少年粒单核细胞白血病患者的GMR CAR T细胞的首次人体临床试验。CAR T细胞对于复发/难治性AML患者可能是一种有前景且实用的治疗选择。

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