Roex Gils, Feys Tom, Beguin Yves, Kerre Tessa, Poiré Xavier, Lewalle Philippe, Vandenberghe Peter, Bron Dominique, Anguille Sébastien
Tumor Immunology Group, Laboratory of Experimental Hematology, Vaccine & Infectious Disease Institute (VAXINFECTIO), University of Antwerp, 2650 Edegem, Belgium.
Ariez International BV, 9000 Ghent, Belgium.
Pharmaceutics. 2020 Feb 24;12(2):194. doi: 10.3390/pharmaceutics12020194.
Chimeric antigen receptor (CAR)-T-cell therapy is an innovative form of adoptive cell therapy that has revolutionized the treatment of certain hematological malignancies, including B-cell non-Hodgkin lymphoma (NHL) and B-cell acute lymphoblastic leukemia (ALL). The treatment is currently also being studied in other B-cell neoplasms, including multiple myeloma (MM) and chronic lymphocytic leukemia (CLL). CD19 and B-cell maturation antigen (BCMA) have been the most popular target antigens for CAR-T-cell immunotherapy of these malignancies. This review will discuss the efficacy and toxicity data from the pivotal clinical studies of CD19- and BCMA-targeted CAR-T-cell therapies in relapsed/refractory B-cell malignancies (NHL, ALL, CLL) and MM, respectively.
嵌合抗原受体(CAR)-T细胞疗法是过继性细胞疗法的一种创新形式,它彻底改变了某些血液系统恶性肿瘤的治疗方式,包括B细胞非霍奇金淋巴瘤(NHL)和B细胞急性淋巴细胞白血病(ALL)。目前该疗法也正在其他B细胞肿瘤中进行研究,包括多发性骨髓瘤(MM)和慢性淋巴细胞白血病(CLL)。CD19和B细胞成熟抗原(BCMA)一直是这些恶性肿瘤CAR-T细胞免疫疗法最常用的靶抗原。本综述将分别讨论针对复发/难治性B细胞恶性肿瘤(NHL、ALL、CLL)和MM的CD19靶向和BCMA靶向CAR-T细胞疗法关键临床研究的疗效和毒性数据。