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急性髓系白血病治疗中CAR-T细胞分子靶点选择的问题

The Problem of Molecular Target Choice for CAR-T Cells in Acute Myeloid Leukemia Therapy.

作者信息

Maiorova Varvara, Mollaev Murad D, Vikhreva Polina, Kibardin Alexey, Maschan Michael A, Larin Sergey S

机构信息

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow 117198, Russia.

出版信息

Int J Mol Sci. 2025 Jun 6;26(12):5428. doi: 10.3390/ijms26125428.


DOI:10.3390/ijms26125428
PMID:40564892
Abstract

Recently, the chimeric antigen receptor (CAR)-T approach represented a breakthrough in the treatment of B-cell malignancies, encouraging the application of the approach for other hematological diseases, such as acute myeloid leukemia (AML). Heterogeneity and antigen variation in the pathological cell population hinder the choice of molecular targets in the case of AML. In this review, the critical aspects were described that are usually considered when selecting molecular targets for the new CAR genetic constructs. The role of AML-associated antigens in AML progression was covered. In conclusion, we proposed an approach that may allow the elimination of pathological cells in AML more effectively.

摘要

最近,嵌合抗原受体(CAR)-T方法在B细胞恶性肿瘤治疗方面取得了突破,这促使该方法在其他血液疾病如急性髓系白血病(AML)中的应用。病理细胞群体的异质性和抗原变异阻碍了AML分子靶点的选择。在本综述中,描述了在为新型CAR基因构建体选择分子靶点时通常考虑的关键方面。涵盖了AML相关抗原在AML进展中的作用。总之,我们提出了一种可能更有效地清除AML中病理细胞的方法。

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本文引用的文献

[1]
Acute Myeloid Leukemia: Diagnosis and Evaluation by Flow Cytometry.

Cancers (Basel). 2024-11-17

[2]
Overview of approved CAR-T products and utility in clinical practice.

Clin Hematol Int. 2024-10-23

[3]
Cellular adaptation to cancer therapy along a resistance continuum.

Nature. 2024-7

[4]
B7-H3 in acute myeloid leukemia: From prognostic biomarker to immunotherapeutic target.

Chin Med J (Engl). 2024-11-5

[5]
Age-specific survival in acute myeloid leukemia in the Nordic countries through a half century.

Blood Cancer J. 2024-3-14

[6]
Increased expression of CD70 in relapsed acute myeloid leukemia after hypomethylating agents.

Virchows Arch. 2024-11

[7]
Tumor-specific activation of folate receptor beta enables reprogramming of immune cells in the tumor microenvironment.

Front Immunol. 2024

[8]
CAR T cell therapy for patients with solid tumours: key lessons to learn and unlearn.

Nat Rev Clin Oncol. 2024-1

[9]
CD7 protein plays a crucial role in T cell infiltration in tumors.

Heliyon. 2023-6-15

[10]
An Analysis of the Worldwide Utilization of Hematopoietic Stem Cell Transplantation for Acute Myeloid Leukemia.

Transplant Cell Ther. 2023-4

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