Department of Microbiology, Immunology, and Molecular Genetics, University of California-Los Angeles, Los Angeles, CA, USA.
Department of Medicine, University of California-Los Angeles, Los Angeles, CA, USA.
J Exp Med. 2024 Feb 5;221(2). doi: 10.1084/jem.20230903. Epub 2024 Jan 16.
Chimeric antigen receptor (CAR)-T cell therapies have demonstrated strong curative potential and become a critical component in the array of B-cell malignancy treatments. Successful deployment of CAR-T cell therapies to treat hematologic and solid cancers, as well as other indications such as autoimmune diseases, is dependent on effective CAR-T cell manufacturing that impacts not only product safety and efficacy but also overall accessibility to patients in need. In this review, we discuss the major process parameters of autologous CAR-T cell manufacturing, as well as regulatory considerations and ongoing developments that will enable the next generation of CAR-T cell therapies.
嵌合抗原受体 (CAR)-T 细胞疗法已显示出强大的治疗潜力,成为治疗 B 细胞恶性肿瘤的重要手段。CAR-T 细胞疗法成功地用于治疗血液系统和实体瘤以及其他适应症,如自身免疫性疾病,这依赖于有效的 CAR-T 细胞制造,不仅影响产品的安全性和疗效,而且还影响到有需要的患者的整体可及性。在这篇综述中,我们讨论了自体 CAR-T 细胞制造的主要工艺参数,以及监管方面的考虑因素和正在进行的发展,这些都将为下一代 CAR-T 细胞疗法提供支持。