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用于癌症重新靶向的表达嵌合抗原受体的自然杀伤细胞

CAR-Expressing Natural Killer Cells for Cancer Retargeting.

作者信息

Kloess Stephan, Kretschmer Anna, Stahl Lilly, Fricke Stephan, Koehl Ulrike

机构信息

Fraunhofer Institute for Cell Therapy and Immunology (IZI), Leipzig, Germany.

Institute for Cellular Therapeutics, ATMP-GMPDU, Hannover Medical School, Hannover, Germany.

出版信息

Transfus Med Hemother. 2019 Feb;46(1):4-13. doi: 10.1159/000495771. Epub 2019 Feb 5.

Abstract

Since the approval in 2017 and the outstanding success of Kymriah® and Yescarta®, the number of clinical trials investigating the safety and efficacy of chimeric antigen receptor-modified autologous T cells has been constantly rising. Currently, more than 200 clinical trials are listed on clinicaltrial.gov. In contrast to CAR-T cells, natural killer (NK) cells can be used from allogeneic donors as an "off the shelf product" and provide alternative candidates for cancer retargeting. This review summarises preclinical results of CAR-engineered NK cells using both primary human NK cells and the cell line NK-92, and provides an overview about the first clinical CAR-NK cell studies targeting haematological malignancies and solid tumours, respectively.

摘要

自2017年Kymriah®和Yescarta®获批且取得显著成功以来,研究嵌合抗原受体修饰的自体T细胞安全性和有效性的临床试验数量一直在不断增加。目前,clinicaltrial.gov上列出了200多项临床试验。与CAR-T细胞不同,自然杀伤(NK)细胞可作为“现成产品”从异体供体获取,为癌症重定向提供了替代候选方案。本综述总结了使用原代人NK细胞和NK-92细胞系的CAR工程化NK细胞的临床前结果,并分别概述了针对血液系统恶性肿瘤和实体瘤的首批CAR-NK细胞临床研究。

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