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收稿:2019-07-02,
纸质出版:2019-12-25
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张曦, 黄瑞昊. 嵌合抗原受体T细胞治疗血液肿瘤的发展与应用[J]. 第三军医大学学报, 2019,41(23):2261-2266.
Xi ZHANG, Ruihao HUANG. Clinical application of CAR-T cells in treatment of hematologic malignancies[J]. Journal of Third Military Medical University, 2019, 41(23): 2261-2266.
张曦, 黄瑞昊. 嵌合抗原受体T细胞治疗血液肿瘤的发展与应用[J]. 第三军医大学学报, 2019,41(23):2261-2266. DOI: 10.16016/j.1000-5404.201907013.
Xi ZHANG, Ruihao HUANG. Clinical application of CAR-T cells in treatment of hematologic malignancies[J]. Journal of Third Military Medical University, 2019, 41(23): 2261-2266. DOI: 10.16016/j.1000-5404.201907013.
The stunning benefits of chimeric antigen receptor T (CAR-T) cell therapy in treatment of relapsed and/or refractory (R/R) B cell acute lymphoblastic leukemia have brought hope to the patients with R/R hematologic malignancies. With the aims of achieving more effective and more accessible CAR-T cell therapy
large-scale hospitals all over the world have launched clinical trails by adjusting the CAR structure
complementary treatment and management of side-effects. Great progresses had been made in the CAR structure optimization
efficiency and safety of clinical application
and transformation and survival of CAR-T cells. The process of clinical application of CAR-T cell therapy is gradually clear
and the effective measures for complications are gradually enriched. However
there still are some disappointing outcomes from clinical trails aimed at acute myeloblastic leukemia (AML)
which are the challenges badly in need of solutions. In order to finally grasp the success or failure
we must analyze the causes in multiple aspects
from preparation to clinical application
and continuously improve and optimize. In this paper
we sorted out the development trend of CAR-T cell therapy and problems needing be urgently solved in the treatment of hematological malignancies in recent years
and made the prospect for the future.
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