Wei Nan, Chen Tian-Ping
Department of Hematology, Anhui Provincial Children's Hospital, Hefei 230051, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2023 Feb 15;25(2):210-216. doi: 10.7499/j.issn.1008-8830.2210056.
At present, the treatment of refractory/relapsed acute lymphoblastic leukemia is still in a difficult situation, and even if the intensity of chemotherapy is increased or it is combined with hematopoietic stem cell transplantation, some children may have a poor prognosis and a short survival time. Chimeric antigen receptor T-cell (CAR-T) immunotherapy uses genetically engineered T cells and does not rely on the human leukocyte antigen pathway to recognize tumor-specific antigens, and then CAR-T cells bind to target antigen cells to trigger immune response, thereby exerting a sustained anti-leukemia effect. As the most rapidly developed tumor immunotherapy, major breakthroughs have been made for CAR-T cells in the treatment of various hematological tumors, but there still lacks a comprehensive system for the research, development, and production of CAR-T cells and standardized diagnosis and treatment protocols in China. This article reviews the recent research on CAR-T cells in children with refractory/relapsed acute lymphoblastic leukemia.
目前,难治性/复发性急性淋巴细胞白血病的治疗仍面临困境,即便增加化疗强度或联合造血干细胞移植,部分患儿的预后仍可能较差,生存时间较短。嵌合抗原受体T细胞(CAR-T)免疫疗法利用基因工程改造的T细胞,不依赖人类白细胞抗原途径识别肿瘤特异性抗原,然后CAR-T细胞与靶抗原细胞结合以触发免疫反应,从而发挥持续的抗白血病作用。作为发展最为迅速的肿瘤免疫疗法,CAR-T细胞在治疗各类血液肿瘤方面已取得重大突破,但我国在CAR-T细胞的研发生产以及标准化诊疗方案方面仍缺乏完善体系。本文综述了CAR-T细胞治疗难治性/复发性急性淋巴细胞白血病患儿的近期研究情况。