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将细胞疗法应用于B细胞急性淋巴细胞白血病二线治疗的前沿。

Moving cellular therapies to the front line for Ph B cell acute lymphoblastic leukemia.

作者信息

Feng Yanzhi, Leveille Etienne, Park Jae H, Müschen Markus

机构信息

Center of Molecular and Cellular Oncology, Yale University, New Haven, CT 06511, USA.

Cellular Therapy Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.

出版信息

Cell Rep Med. 2025 Jul 15;6(7):102184. doi: 10.1016/j.xcrm.2025.102184.

DOI:10.1016/j.xcrm.2025.102184
PMID:40669449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12281393/
Abstract

Chemotherapy-free regimens have gained increasing attention as frontline treatments for B cell acute lymphoblastic leukemia (B-ALL) due to the limitations of chemotherapy. Zhang and colleagues conducted the first trial incorporating CAR-T into Ph B-ALL frontline treatment, demonstrating remarkable efficacy and tolerability..

摘要

由于化疗存在局限性,无化疗方案作为B细胞急性淋巴细胞白血病(B-ALL)的一线治疗方法越来越受到关注。张及其同事开展了首个将嵌合抗原受体T细胞(CAR-T)纳入Ph B-ALL一线治疗的试验,显示出显著的疗效和耐受性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff72/12281393/8a42f0aa3e13/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff72/12281393/8a42f0aa3e13/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff72/12281393/8a42f0aa3e13/gr1.jpg

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本文引用的文献

1
IKAROS levels are associated with antigen escape in CD19- and CD22-targeted therapies for B-cell malignancies.IKAROS水平与B细胞恶性肿瘤的CD19和CD22靶向治疗中的抗原逃逸相关。
Nat Commun. 2025 Apr 23;16(1):3800. doi: 10.1038/s41467-025-58868-2.
2
CD22-targeted chimeric antigen receptor-modified T cells for children and adults with relapse of B-cell acute lymphoblastic leukemia after CD19-directed immunotherapy.针对CD19导向免疫治疗后复发的B细胞急性淋巴细胞白血病儿童和成人的CD22靶向嵌合抗原受体修饰T细胞
J Immunother Cancer. 2025 Apr 17;13(4):e011549. doi: 10.1136/jitc-2025-011549.
3
Dasatinib and CAR T-Cell Therapy in Newly Diagnosed Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia: A Nonrandomized Clinical Trial.
达沙替尼与嵌合抗原受体T细胞疗法治疗新诊断的费城染色体阳性急性淋巴细胞白血病:一项非随机临床试验
JAMA Oncol. 2025 Apr 17. doi: 10.1001/jamaoncol.2025.0674.
4
Long-Term Results of the Dasatinib-Blinatumomab Protocol for Adult Philadelphia-Positive ALL.达沙替尼-blinatumomab 方案治疗成人费城阳性 ALL 的长期结果。
J Clin Oncol. 2024 Mar 10;42(8):881-885. doi: 10.1200/JCO.23.01075. Epub 2023 Dec 21.
5
Sequential CD19 and CD22 chimeric antigen receptor T-cell therapy for childhood refractory or relapsed B-cell acute lymphocytic leukaemia: a single-arm, phase 2 study.序贯 CD19 和 CD22 嵌合抗原受体 T 细胞治疗儿童难治或复发 B 细胞急性淋巴细胞白血病:单臂、2 期研究。
Lancet Oncol. 2023 Nov;24(11):1229-1241. doi: 10.1016/S1470-2045(23)00436-9. Epub 2023 Oct 17.
6
Ponatinib and blinatumomab for Philadelphia chromosome-positive acute lymphoblastic leukaemia: a US, single-centre, single-arm, phase 2 trial.帕纳替尼和blinatumomab 治疗费城染色体阳性急性淋巴细胞白血病:美国单中心、单臂、2 期临床试验。
Lancet Haematol. 2023 Jan;10(1):e24-e34. doi: 10.1016/S2352-3026(22)00319-2. Epub 2022 Nov 16.
7
Dasatinib/prednisone induction followed by blinatumomab/dasatinib in Ph+ acute lymphoblastic leukemia.达沙替尼/泼尼松诱导后,费城染色体阳性急性淋巴细胞白血病采用blinatumomab/达沙替尼治疗。
Blood Adv. 2023 Apr 11;7(7):1279-1285. doi: 10.1182/bloodadvances.2022008216.
8
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N Engl J Med. 2020 Oct 22;383(17):1613-1623. doi: 10.1056/NEJMoa2016272.
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BCR-ABL1 lymphoblastic leukaemia is characterized by the deletion of Ikaros.BCR-ABL1 淋巴细胞白血病的特征是 Ikaros 缺失。
Nature. 2008 May 1;453(7191):110-4. doi: 10.1038/nature06866. Epub 2008 Apr 13.