CARs on the Highway: Chimeric Antigen Receptor Modified T Cells for the Adoptive Cell Therapy of Malignant Diseases

CARs on the Highway: Chimeric Antigen Receptor Modified T Cells for the Adoptive Cell Therapy of Malignant Diseases
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高速公路上的 CAR:嵌合抗原受体修饰的 T 细胞用于恶性疾病的过继细胞治疗

DOI:
10.5772/66496
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发表时间:
2017
期刊:
Bioscience, biotechnology, and biochemistry
影响因子:
--
通讯作者:
Astrid Holzinger and Hinrich Abken
Astrid Holzinger and Hinrich Abken
中科院分区:
--
文献类型:
--
作者:
Astrid Holzinger and Hinrich Abken

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嵌合抗原受体(CAR)重定向T细胞对恶性疾病的过继治疗利用患者自身免疫系统识别和摧毁癌细胞。在早期试验中,car -工程T细胞诱导白血病的完全和持久缓解令人印象深刻。在优化CAR设计、识别靶细胞和生产用于临床的修饰细胞方面的最新进展,为比目前探索的更广泛的应用铺平了道路。本章回顾了CAR - T细胞设计的差异、治疗血液恶性肿瘤的成功、治疗实体癌的挑战、治疗相关的毒性以及提高CAR - T细胞治疗安全性的策略。讨论了未来应用的挑战。
Adoptive therapy of malignant diseases by chimeric antigen receptor (CAR) redirected T cells takes advantage of the patient’s own immune system to recognize and destroy cancer cells. This is impressively demonstrated by the induction of complete and last- ing remissions of leukemia with CAR-engineered T cells in early phase trials. Recent developments in optimizing the CAR design, in the recognition of target cells and the production of modified cells for clinical use, have paved the path for a broader applica tion than currently explored. The chapter reviews the differences in CAR design, the suc - cess in the treatment of hematologic malignancies, the challenges in treating solid cancer, the treatment-related toxicities, and strategies to improve safety of CAR T cell therapy. Challenges for future applications are discussed.
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