Ostojska Magdalena, Nowak Emilia, Twardowska Julia, Lejman Monika, Zawitkowska Joanna
Student's Scientific Association of the Department of Pediatric Hematology, Oncology and Transplantation, Medical University of Lublin, 20-093 Lublin, Poland.
Independent Laboratory of Genetic Diagnostics, Faculty of Medicine, Medical University of Lublin, 20-093 Lublin, Poland.
J Pers Med. 2023 Nov 10;13(11):1595. doi: 10.3390/jpm13111595.
Non-Hodgkin lymphomas (NHL) are a group of cancers that originate in the lymphatic system, especially from progenitor or mature B-cells, T-cells, or natural killer (NK) cells. NHL is the most common hematological malignancy worldwide and also the fourth most frequent type of cancer among pediatric patients. This cancer can occur in children of any age, but it is quite rare under the age of 5 years. In recent decades, available medicines and therapies have significantly improved the prognosis of patients with this cancer. However, some cases of NHL are treatment resistant. For this reason, immunotherapy, as a more targeted and personalized treatment strategy, is becoming increasingly important in the treatment of NHL in pediatric patients. The objective of the following review is to gather the latest available research results, conducted among pediatric and/or adult patients with NHL, regarding one immunotherapy method, i.e., chimeric antigen receptor (CAR) T cell therapy. We focus on assessing the effectiveness of CAR-T cell therapy, which mainly targets B cell markers, CD19, CD20, and CD22, their connections with one another, sequential treatment, or connections with co-stimulatory molecules. In addition, we also evaluate the safety, aftermath (especially neurotoxicities) and limitations of CAR-T cell therapy.
非霍奇金淋巴瘤(NHL)是一组起源于淋巴系统的癌症,特别是源自祖细胞或成熟的B细胞、T细胞或自然杀伤(NK)细胞。NHL是全球最常见的血液系统恶性肿瘤,也是儿科患者中第四常见的癌症类型。这种癌症可发生于任何年龄段的儿童,但在5岁以下儿童中较为罕见。近几十年来,现有的药物和治疗方法显著改善了这种癌症患者的预后。然而,一些NHL病例对治疗具有抗性。因此,免疫疗法作为一种更具针对性和个性化的治疗策略,在儿科患者NHL的治疗中变得越来越重要。以下综述的目的是收集在儿科和/或成人NHL患者中进行的关于一种免疫疗法,即嵌合抗原受体(CAR)T细胞疗法的最新研究结果。我们专注于评估主要靶向B细胞标志物CD19、CD20和CD22的CAR-T细胞疗法的有效性、它们彼此之间的联系、序贯治疗或与共刺激分子的联系。此外,我们还评估CAR-T细胞疗法的安全性、后果(特别是神经毒性)和局限性。
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