[开发双靶向 CAR T 细胞疗法]。

Itaru Kato
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引用次数: 0

摘要

嵌合抗原受体 T 细胞疗法(CAR-T 细胞疗法)彻底改变了复发和难治性血液恶性肿瘤的治疗方法。以 B 细胞上的 CD19 抗原为靶点,对急性淋巴细胞白血病和 B 细胞淋巴瘤患者的缓解诱导率和持续缓解率都很高。尽管取得了这些令人瞩目的疗效,但仍发现了许多 CAR-T 细胞疗法的逃逸机制,其中最常见的是靶抗原缺乏。本文重点介绍了目前临床上使用最多的CD19 CAR-T细胞疗法,并介绍了使用多靶点CAR-T细胞(如正在临床前和临床试验中开发的CD19-CD20 CAR-T细胞和CD19-CD22 CAR-T细胞)克服耐药性的新策略。
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[Development of dual-targeted CAR T-cell therapy].

Chimeric antigen receptor T-cell therapy (CAR-T-cell therapy) has revolutionized the treatment of relapsed and refractory hematological malignancies. Targeting of the CD19 antigen on B cells has yielded high rates of remission induction and sustained remission in patients with acute lymphoblastic leukemia and B-cell lymphomas. Despite these remarkable responses, many escape mechanisms from CAR-T cell therapy have been identified, with the most common being target antigen deficiency. This paper focuses on CD19 CAR-T cell therapies, which are currently the most clinically used, and describes new strategies to overcome resistance using multi-targeted CAR-T cells, such as CD19-CD20 CAR-T cells and CD19-CD22 CAR-T cells, which are being developed in preclinical and clinical trials.

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