Rehman Muhammad Abdul, Arshad Hamza
Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Al-Tibri Medical College, Isra University, Karachi, Pakistan.
Blood Cell Ther. 2024 Nov 1;7(4):121-123. doi: 10.31547/bct-2024-008. eCollection 2024 Nov 25.
Chimeric antigen receptor T cell (CAR-T) therapy has revolutionized the treatment of blood cancer. By improving survival outcomes for patients with B-cell malignancies, which hitherto have been unparalleled by conventional chemotherapy, CAR-T therapy is a beacon of hope for many patients with cancer. However, harvesting, modifying, and reintroducing T cells is costly, which means that not every patient with cancer who needs CAR-T therapy has the financial capacity to receive it. This blatant economic disparity, combined with geographical limitations, for several lower-middle-income countries that do not manufacture CAR-T therapy, has been a problem that has widened the socioeconomic gap between patients with cancer. This was the case until India recently manufactured its own CAR-T therapy. As a lower-middle-income country with a massive burden of cancer, India's NexCAR19 was a pivotal point in South Asian cancer history. From benefiting local patients with cancer to collaborations with neighboring countries, to prompting the manufacture of more CAR-T products, NexCAR19 has facilitated the fight against blood cancers in South Asia.
嵌合抗原受体T细胞(CAR-T)疗法彻底改变了血癌的治疗方式。通过改善B细胞恶性肿瘤患者的生存结果,而这是传统化疗此前无法比拟的,CAR-T疗法为许多癌症患者带来了希望之光。然而,采集、改造和重新引入T细胞成本高昂,这意味着并非每个需要CAR-T疗法的癌症患者都有经济能力接受治疗。这种明显的经济差距,再加上地理限制,对于几个不生产CAR-T疗法的中低收入国家来说,一直是一个扩大癌症患者社会经济差距的问题。直到印度最近生产出自己的CAR-T疗法,情况才有所改变。作为一个癌症负担沉重的中低收入国家,印度的NexCAR19是南亚癌症史上的一个关键点。从使当地癌症患者受益到与邻国合作,再到促使生产更多的CAR-T产品,NexCAR19推动了南亚地区对抗血癌的斗争。