Treatment of lymphoma with adoptively transferred T cells.

Treatment of lymphoma with adoptively transferred T cells.
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DOI:
10.1517/14712590903260785
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发表时间:
2009-11
影响因子:
4.6
通讯作者:
Press OW
Press OW
中科院分区:
医学3区
文献类型:
--
作者:
Till BG;Press OW

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Chemotherapy-resistant lymphomas can be cured with allogeneic hematopoietic cell transplantation, demonstrating the susceptibility of these tumors to T cell-mediated immune responses. However, high rates of transplant-related morbidity and mortality limit this approach. Efforts have therefore been made to develop alternative T cell-based therapies, and there is growing evidence that adoptive therapy with T cells targeted to lymphoma-associated antigens may be a safe and effective new method for treating this group of diseases. We review publications on adoptive therapy with ex-vivo-expanded T cells targeting viral antigens, as well as genetically modified autologous T cells, as strategies for the treatment of lymphoma, with the goal of providing an overview of these approaches. Epstein-Barr virus (EBV)-specific T cell therapy is an effective and safe method of treating EBV-associated lymphomas; however, most lymphoma subtypes do not express EBV antigens. For these diseases, adoptive immunotherapy with genetically modified T cells expressing chimeric T cell receptors targeting lymphoma-associated antigens such as CD19 and CD20 appears to be a promising alternative. Recent innovations including enhanced co-stimulation, exogenous cytokine administration, and use of memory T cells promise to overcome many of the limitations and pitfalls initially encountered with this approach.
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