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优化血液系统恶性肿瘤嵌合抗原受体 T 细胞治疗的策略:中国经验。

Strategies to optimize chimeric antigen receptor T-cell therapy in hematologic malignancies: Chinese experience.

机构信息

Peking University People's Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Peking University, Beijing, People's Republic of China.

Department of Hematology, Tongji Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China.

出版信息

Haematologica. 2023 Aug 1;108(8):2011-2028. doi: 10.3324/haematol.2022.282316.


DOI:10.3324/haematol.2022.282316
PMID:36794504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10390786/
Abstract

Chimeric antigen receptor (CAR) T-cell therapy has emerged as a promising form of adoptive T-cell immunotherapy for selected hematologic malignancies including leukemia, lymphoma and multiple myeloma. China has become the country with the largest number of registered CAR T-cell trials. Despite the remarkable clinical outcomes achieved with CAR Tcell therapy, challenges such as disease relapse, the process of manufacturing the CAR T cells and safety have limited the therapeutic efficacy of CAR T cells in hematologic malignancies. In this period of innovation, several clinical trials have reported the design of CAR directed at new targets in hematologic malignancies. In this review, we comprehensively summarize the contemporary landscape and clinical development of CAR T-cell therapy in China. In addition, we present strategies for further improving the clinical utility of CAR T-cell therapy, such as increasing the efficacy and response duration, in hematologic malignancies.

摘要

嵌合抗原受体 (CAR) T 细胞疗法已成为一种有前途的过继性 T 细胞免疫疗法,适用于包括白血病、淋巴瘤和多发性骨髓瘤在内的某些血液系统恶性肿瘤。中国已经成为注册 CAR T 细胞试验数量最多的国家。尽管 CAR T 细胞疗法取得了显著的临床疗效,但疾病复发、CAR T 细胞的制造过程和安全性等挑战限制了 CAR T 细胞在血液系统恶性肿瘤中的治疗效果。在这个创新的时期,几项临床试验报告了针对血液系统恶性肿瘤新靶点的 CAR 的设计。在这篇综述中,我们全面总结了中国 CAR T 细胞疗法的当代格局和临床进展。此外,我们还提出了进一步提高 CAR T 细胞疗法在血液系统恶性肿瘤中的临床实用性的策略,例如提高疗效和延长反应持续时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/10390786/df6de3f73546/1082011.fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/10390786/178c7c70a679/1082011.fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/10390786/2a9a49a82bf3/1082011.fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/10390786/0793decba5fd/1082011.fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/10390786/df6de3f73546/1082011.fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/10390786/178c7c70a679/1082011.fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/10390786/2a9a49a82bf3/1082011.fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/10390786/0793decba5fd/1082011.fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbcf/10390786/df6de3f73546/1082011.fig4.jpg

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引用本文的文献

[1]
CAR-T cell therapy in china: innovations, challenges, and strategic pathways.

Discov Oncol. 2025-8-22

[2]
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BMC Public Health. 2025-7-2

[3]
From lab to lifesaver: the rise of CAR T-cell therapy in oncology.

J Egypt Natl Canc Inst. 2025-5-16

[4]
Dasatinib-resistant universal CAR-T cells proliferate in the presence of host immune cells and exhibit antitumor activity.

Mol Ther. 2025-4-2

[5]
Engineering a controllable and reversible switch for CAR-based cellular immunotherapies via a genetic code expansion system.

J Hematol Oncol. 2024-12-18

[6]
A New Outcomes-Based Payment Plan From a Chinese Company to Improve Patient Affordability of CAR-T Product.

Int J Health Policy Manag. 2024

[7]
Impact of Allogeneic Stem Cell Transplant on Safety and Outcomes of Chimeric Antigen Receptor T Cell (CAR-T) Therapy in Patients with Multiple Myeloma (MM).

J Clin Med. 2024-10-18

[8]
Measurable Residual Disease Testing in Multiple Myeloma Following T-Cell Redirecting Therapies.

Cancers (Basel). 2024-9-27

[9]
Loncastuximab tesirine in Chinese patients with relapsed or refractory diffuse large B-cell lymphoma: a multicenter, open-label, single-arm, phase II trial.

Haematologica. 2025-3-1

[10]
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Front Immunol. 2023

本文引用的文献

[1]
Emerging mechanisms of pyroptosis and its therapeutic strategy in cancer.

Cell Death Discov. 2022-7-27

[2]
Ciltacabtagene Autoleucel, an Anti-B-cell Maturation Antigen Chimeric Antigen Receptor T-Cell Therapy, for Relapsed/Refractory Multiple Myeloma: CARTITUDE-1 2-Year Follow-Up.

J Clin Oncol. 2023-2-20

[3]
Naturally selected CD7 CAR-T therapy without genetic manipulations for T-ALL/LBL: first-in-human phase 1 clinical trial.

Blood. 2022-7-28

[4]
Anti-CD19 and anti-BCMA CAR T cell therapy followed by lenalidomide maintenance after autologous stem-cell transplantation for high-risk newly diagnosed multiple myeloma.

Am J Hematol. 2022-5

[5]
China enters CAR-T cell therapy era.

Innovation (Camb). 2021-12-16

[6]
CRISPR/Cas9 genome-edited universal CAR T cells in patients with relapsed/refractory lymphoma.

Blood Adv. 2022-4-26

[7]
High efficacy and safety of CD38 and BCMA bispecific CAR-T in relapsed or refractory multiple myeloma.

J Exp Clin Cancer Res. 2022-1-3

[8]
Absolute Lymphocyte Count Prior to Lymphodepletion Impacts Outcomes in Multiple Myeloma Patients Treated with Chimeric Antigen Receptor T Cells.

Transplant Cell Ther. 2022-2

[9]
Mechanisms of cytokine release syndrome and neurotoxicity of CAR T-cell therapy and associated prevention and management strategies.

J Exp Clin Cancer Res. 2021-11-18

[10]
Humoral immune reconstitution after anti-BCMA CAR T-cell therapy in relapsed/refractory multiple myeloma.

Blood Adv. 2021-12-14

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