HE Aili, YANG Yun, WANG Xiaman. Progress of chimeric antigen receptor T cell immunotherapy in refractory/relapse hematologic malignancies. [J]. Journal of Southwest Medical University 46(5):393-399(2023)
DOI:
HE Aili, YANG Yun, WANG Xiaman. Progress of chimeric antigen receptor T cell immunotherapy in refractory/relapse hematologic malignancies. [J]. Journal of Southwest Medical University 46(5):393-399(2023) DOI: 10.3969/j.issn.2096-3351.2023.05.005.
Progress of chimeric antigen receptor T cell immunotherapy in refractory/relapse hematologic malignancies
摘要
免疫疗法是近年血液肿瘤治疗领域的研究热点,随着基因工程及分子生物学技术的发展及对肿瘤发病机制认识的不断深入,嵌合抗原受体T 细胞(chimeric antigen receptor T cell,CAR-T)疗法在临床中得到广泛应用。CAR-T 细胞疗法治疗难治复发急性淋巴细胞白血病、难治侵袭性淋巴瘤、多发性骨髓瘤取得了令人振奋的疗效,极大改善了患者的预后,但仍有相当一部分患者存在对治疗无应答或在短期内复发以及接受治疗后发生不可耐受的细胞因子释放综合征等不良反应的问题;以嵌合抗原受体为基础的CAR-NK、CAR-M 细胞的研究和减轻CAR-T 治疗毒副作用及临床长期应答疗效的研究还存在许多挑战和机遇,任重而道远。本文就CAR-T 细胞疗法在难治复发血液肿瘤中的应用做一评述,并对发展前景予以展望。
Abstract
Immunotherapy has emerged as a research hotspot in the field of hematological tumor treatment in recent years. With advancements in genetic engineering and molecular biology
and a deeper understanding of tumor pathogenesis
Chimeric Antigen Re⁃ ceptor T cell (CAR-T) therapy has found widespread application in clinical practice. CAR-T cell therapy has shown remarkable effi⁃ cacy in treating refractory and relapsed acute lymphoblastic leukemia
refractory aggressive lymphoma
and multiple myeloma
greatly improving patient prognosis. Despite these wonderful clinical outcomes
there still exist many patients couldn’t get continuous remis⁃ sion or show no responses to CAR-T therapy. Additionally
cytokine release syndrome (CRS) is the most significant and life-threatening toxicity which needs more clinical experiences. The researches CAR-NK and CAR-M are new techniques based on the CAR-T cell treatment
but still needs more efforts to make car therapy safer and more efficient. All above may guide new challenges and important discoveries in immunotherapy of hematological malignancies.This article reviewed the application of CAR-T Cell therapy in the treat⁃ ment of refractory and recurrent hematological tumors
and looked forward to its development prospects.
关键词
嵌合抗原受体T 细胞免疫治疗难治复发血液肿瘤
Keywords
Chimeric antigen receptor T CellImmunotherapyRefractory /relapse hematological malignancy