Immune-Based Approaches for the Treatment of Pediatric Malignancies.

Immune-Based Approaches for the Treatment of Pediatric Malignancies.
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DOI:
10.1146/annurev-cancerbio-030419-033436
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发表时间:
2020-03
影响因子:
7.7
通讯作者:
Maris JM
Maris JM
中科院分区:
医学2区
文献类型:
--
作者:
Bosse KR;Majzner RG;Mackall CL;Maris JM

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嵌合抗原受体(CAR) T细胞治疗儿童B细胞急性淋巴细胞白血病(ALL)具有强大的疗效,免疫疗法现已被批准用于儿科癌症,为患有先前致命疾病的儿童提供了治愈的机会,并可能提供更有针对性的治疗,以限制治疗相关的发病率。大多数儿童癌症的发育起源使其成为免疫疗法的理想靶点,这些免疫疗法利用了谱系特异性细胞表面分子(如抗体、抗体-药物偶联物或CAR - T细胞)的差异表达,而其他依赖于肿瘤免疫原性的疗法(如免疫检查点抑制剂)的疗效迄今为止受到限制。在此,我们回顾了儿童癌症免疫治疗的现状,讨论了针对这些疾病开发免疫治疗的挑战,并概述了儿童免疫治疗发现和发展的未来方向。
Immune-based therapies have now been credentialed for pediatric cancers with the robust efficacy of chimeric antigen receptor (CAR) T cells for pediatric B cell acute lymphocytic leukemia (ALL), offering a chance of a cure for children with previously lethal disease and a potentially more targeted therapy to limit treatment-related morbidities. The developmental origins of most pediatric cancers make them ideal targets for immune-based therapies that capitalize on the differential expression of lineage-specific cell surface molecules such as antibodies, antibody-drug conjugates, or CAR T cells, while the efficacy of other therapies that depend on tumor immunogenicity such as immune checkpoint inhibitors has been limited to date. Here we review the current status of immune-based therapies for childhood cancers, discuss challenges to developing immunotherapeutics for these diseases, and outline future directions of pediatric immunotherapy discovery and development.
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