血液系统恶性肿瘤中的 T 细胞重定向疗法:为改善靶向性而开发的新策略和新进展。
T cell-redirecting therapies in hematological malignancies: Current developments and novel strategies for improved targeting.
机构信息
MRC Toxicology Unit, University of Cambridge, Cambridge CB2 1QR, UK.
MRC Toxicology Unit, University of Cambridge, Cambridge CB2 1QR, UK; Department of Haematology, University of Cambridge, Cambridge CB2 0XY, UK; Addenbrooke's Hospital, Cambridge Universities Foundation Trust, Cambridge CB2 0QQ, UK.
出版信息
Mol Ther. 2024 Sep 4;32(9):2856-2891. doi: 10.1016/j.ymthe.2024.07.028. Epub 2024 Aug 5.
T cell-redirecting therapies (TCRTs), such as chimeric antigen receptor (CAR) or T cell receptor (TCR) T cells and T cell engagers, have emerged as a highly effective treatment modality, particularly in the B and plasma cell-malignancy setting. However, many patients fail to achieve deep and durable responses; while the lack of truly unique tumor antigens, and concurrent on-target/off-tumor toxicities, have hindered the development of TCRTs for many other cancers. In this review, we discuss the recent developments in TCRT targets for hematological malignancies, as well as novel targeting strategies that aim to address these, and other, challenges.
T 细胞重定向疗法(TCRTs),如嵌合抗原受体(CAR)或 T 细胞受体(TCR)T 细胞和 T 细胞衔接器,已成为一种非常有效的治疗方式,特别是在 B 细胞和浆细胞恶性肿瘤的治疗中。然而,许多患者未能实现深度和持久的反应;同时,由于缺乏真正独特的肿瘤抗原,以及同时存在的靶内/靶外毒性,限制了 TCRTs 在许多其他癌症中的发展。在这篇综述中,我们讨论了血液恶性肿瘤 TCRT 靶点的最新进展,以及旨在解决这些和其他挑战的新的靶向策略。