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FDA 批准的嵌合抗原受体 T 细胞疗法:十年的进展与挑战。

FDA-approved CAR T-cell Therapy: A Decade of Progress and Challenges.

机构信息

School of Pharmacy, Faculty of Health and Medical Sciences, Taylor's University, 47500, Subang Jaya, Selangor, Malaysia.

Medical Advancement for Better Quality of Life Impact Lab, Taylor's University, 47500, Subang Jaya, Selangor, Malaysia.

出版信息

Curr Pharm Biotechnol. 2024;25(11):1377-1393. doi: 10.2174/0113892010257212231001082741.


DOI:10.2174/0113892010257212231001082741
PMID:39034731
Abstract

CAR T-cell therapy is a promising approach for cancer treatment, utilizing a patient's own T-cells (autologous cell) or T-cells from a healthy donor (allogeneic cell) to target and destroy cancer cells. Over the last decade, significant advancements have been made in this field, including the development of novel CAR constructs, improved understanding of biology and mechanisms of action, and expanded clinical applications for treating a wider range of cancers. In this review, we provide an overview of the steps involved in the production of CAR T-cells and their mechanism of action. We also introduce different CAR T-cell therapies available, including their implementation, dosage, administration, treatment cost, efficacy, and resistance. Common side effects of CAR T-cell therapy are also discussed. The CAR T-cell products highlighted in this review are FDA-approved products, which include Kymriah (tisagenlecleucel), Tecartus (brexucabtagene autoleucel), Abecma (Idecabtagene vicleucel), Breyanzi (lisocabtagene maraleucel), and Yescarta (axicabtagene ciloleucel). In conclusion, CAR T-cell therapy has made tremendous progress over the past decade and has the potential to revolutionize cancer treatment. This review paper provides insights into the progress, challenges, and future directions of CAR T-cell therapy, offering valuable information for researchers, clinicians, and patients.

摘要

嵌合抗原受体 T 细胞疗法是一种有前途的癌症治疗方法,利用患者自身的 T 细胞(自体细胞)或来自健康供体的 T 细胞(同种异体细胞)来靶向和破坏癌细胞。在过去的十年中,该领域取得了重大进展,包括新型 CAR 构建的开发、对生物学和作用机制的深入理解,以及更广泛的癌症治疗临床应用的扩展。在这篇综述中,我们提供了 CAR T 细胞生产过程及其作用机制的概述。我们还介绍了不同的 CAR T 细胞疗法,包括它们的实施、剂量、给药、治疗成本、疗效和耐药性。还讨论了 CAR T 细胞疗法的常见副作用。本文重点介绍的 CAR T 细胞产品是获得 FDA 批准的产品,包括 Kymriah(tisagenlecleucel)、 Tecartus(brexucabtagene autoleucel)、Abecma(Idecabtagene vicleucel)、Breyanzi(lisocabtagene maraleucel)和 Yescarta(axicabtagene ciloleucel)。总之,CAR T 细胞疗法在过去十年中取得了巨大的进展,有可能彻底改变癌症治疗。这篇综述文章提供了有关 CAR T 细胞疗法的进展、挑战和未来方向的见解,为研究人员、临床医生和患者提供了有价值的信息。

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FDA-approved CAR T-cell Therapy: A Decade of Progress and Challenges.

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引用本文的文献

[1]
GD2: hopes and challenges for the treatment of pediatric patients with tumors of the central nervous system.

NPJ Precis Oncol. 2025-8-21

[2]
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本文引用的文献

[1]
Allogeneic BCMA-targeting CAR T cells in relapsed/refractory multiple myeloma: phase 1 UNIVERSAL trial interim results.

Nat Med. 2023-2

[2]
Three-Year Update of Tisagenlecleucel in Pediatric and Young Adult Patients With Relapsed/Refractory Acute Lymphoblastic Leukemia in the ELIANA Trial.

J Clin Oncol. 2023-3-20

[3]
Efficacy and safety of cilta-cel in patients with progressive multiple myeloma after exposure to other BCMA-targeting agents.

Blood. 2023-1-19

[4]
Potential solutions for manufacture of CAR T cells in cancer immunotherapy.

Nat Commun. 2022-9-5

[5]
γ-secretase inhibitors augment efficacy of BCMA-targeting bispecific antibodies against multiple myeloma cells without impairing T-cell activation and differentiation.

Blood Cancer J. 2022-8-16

[6]
Matching-adjusted indirect treatment comparison of chimeric antigen receptor T-cell therapies for third-line or later treatment of relapsed or refractory large B-cell lymphoma: lisocabtagene maraleucel versus tisagenlecleucel.

Exp Hematol Oncol. 2022-3-25

[7]
Second-Line Tisagenlecleucel or Standard Care in Aggressive B-Cell Lymphoma.

N Engl J Med. 2022-2-17

[8]
Axicabtagene ciloleucel in relapsed or refractory indolent non-Hodgkin lymphoma (ZUMA-5): a single-arm, multicentre, phase 2 trial.

Lancet Oncol. 2022-1

[9]
Lisocabtagene Maraleucel in Relapsed or Refractory Diffuse Large B Cell Lymphoma: What is the Evidence?

Hematol Oncol Stem Cell Ther. 2022-12-23

[10]
Zanubrutinib monotherapy for relapsed or refractory non-germinal center diffuse large B-cell lymphoma.

Blood Adv. 2022-3-22

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