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嵌合抗原受体-T细胞免疫治疗难治/复发急性淋巴细胞白血病的挑战与对策 被引量:3

Chimeric antigen receptor T cell immunotherapy for refractory and relapsed acute lymphoblastic leukemia:Challenge and Countermeasures
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摘要 嵌合抗原受体(CAR)-T细胞免疫治疗难治/复发急性淋巴细胞白血病(R/R ALL)是血液系统恶性疾病治疗领域的突破性进展之一。然而,该领域还存在异基因CAR-T细胞免疫排斥、白血病复发、能否将CAR-T细胞用于微小残留病(MRD)阳性患者的干预和初诊ALL患者的治疗等诸多挑战,只有建立针对上述挑战的相应策略才能进一步提高CAR-T细胞免疫治疗ALL的安全性、有效性,改善临床预后。 Chimeric antigen receptor(CAR)-T cell immunotherapy for refractory and relapsed acute lymphoblastic leukemia(R/R ALL)is one of the breakthroughs in the field of hematological malignant disease treatment.However,several challenges remain,such as immune rejection of allogeneic CAR-T cells,leukemia relapse,as well as could we apply CAR-T cell immunotherapy to ALL patients with positive measurable residual disease and those of newly diagnosed cases.The safety and efficiency of CAR-T therapy will be further improved for patients with ALL only by establishing appropriate strategies to address these challenges.
作者 常英军 赵翔宇 Chang Yingjun;Zhao Xiangyu(Peking University People′s Hospital&Peking University Institute of Hematology,National Clinical Research Center for Hematologic Disease,Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation,Beijing 100044,China)
出处 《中华检验医学杂志》 CAS CSCD 北大核心 2022年第8期777-782,共6页 Chinese Journal of Laboratory Medicine
基金 京津冀协同创新推动项目(Z18111000960000) 首都卫生发展科研专项(首发2018-2-4084)。
关键词 免疫疗法 过继 嵌合抗原受体T细胞 难治/复发急性淋巴细胞白血病 复发 免疫排斥 微小残留病 Immunotherapy,adoptive Chimeric antigen receptor T cell Refractory and relapsed acute lymphoblastic leukemia Leukemia relapse Immune rejection Measurable residual disease
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