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嵌合抗原受体 T 细胞疗法治疗急性髓系白血病的最新进展。

Recent advances in CAR-T cell therapy for acute myeloid leukaemia.

机构信息

College of Life Science and Health, Wuhan University of Science and Technology, Wuhan, China.

College of Biotechnology, Tianjin University of Science and Technology, Tianjin, China.

出版信息

J Cell Mol Med. 2024 May;28(9):e18369. doi: 10.1111/jcmm.18369.

Abstract

Acute myeloid leukaemia (AML) is a fatal and refractory haematologic cancer that primarily affects adults. It interferes with bone marrow cell proliferation. Patients have a 5 years survival rate of less than 30% despite the availability of several treatments, including chemotherapy, allogeneic haematopoietic stem cell transplantation (Allo-HSCT), and receptor antagonist drugs. Allo-HSCT is the mainstay of acute myeloid leukaemia treatment. Although it does work, there are severe side effects, such as graft-versus-host disease (GVHD). In recent years, chimeric antigen receptor (CAR)-T cell therapies have made significant progress in the treatment of cancer. These engineered T cells can locate and recognize tumour cells in vivo and release a large number of effectors through immune action to effectively kill tumour cells. CAR-T cells are among the most effective cancer treatments because of this property. CAR-T cells have demonstrated positive therapeutic results in the treatment of acute myeloid leukaemia, according to numerous clinical investigations. This review highlights recent progress in new targets for AML immunotherapy, and the limitations, and difficulties of CAR-T therapy for AML.

摘要

急性髓系白血病(AML)是一种致命且难治的血液系统恶性肿瘤,主要影响成年人。它干扰骨髓细胞的增殖。尽管有几种治疗方法,包括化疗、异基因造血干细胞移植(Allo-HSCT)和受体拮抗剂药物,患者的 5 年生存率仍低于 30%。Allo-HSCT 是急性髓系白血病治疗的主要方法。尽管它确实有效,但也有严重的副作用,如移植物抗宿主病(GVHD)。近年来,嵌合抗原受体(CAR)-T 细胞疗法在癌症治疗方面取得了重大进展。这些经过工程改造的 T 细胞可以在体内定位和识别肿瘤细胞,并通过免疫作用释放大量效应物,有效地杀死肿瘤细胞。由于这一特性,CAR-T 细胞是最有效的癌症治疗方法之一。根据许多临床研究,CAR-T 细胞在治疗急性髓系白血病方面显示出了积极的治疗效果。本综述强调了 AML 免疫治疗新靶点的最新进展,以及 CAR-T 治疗 AML 的局限性和困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5445/11075639/c498e846c0e7/JCMM-28-e18369-g001.jpg

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