Cell-Based Treatment in Acute Myeloid Leukemia Relapsed after Allogeneic Stem Cell Transplantation

被引:1
作者
Canichella, Martina [1 ]
de Fabritiis, Paolo [1 ,2 ]
机构
[1] St Eugenio Hosp, ASL Roma2, Haematol Unit, Rome, Italy
[2] Tor Vergata Univ, Dept Biomed & Prevent, I-00133 Rome, Italy
关键词
acute myeloid leukemia (AML); allogeneic stem cell transplantation (ASCT); cellular therapy; donor lymphocyte infusion (DLI); chimeric antigen receptor (CAR)-T cells; next-generation CAR-T cells; universal CAR-T (UCAR-T); UniCAR technology; CHIMERIC ANTIGEN RECEPTOR; DONOR LYMPHOCYTE INFUSION; CAR-T-CELLS; INDUCED KILLER-CELLS; LEUKOCYTE INFUSIONS; RISK-FACTORS; AML PATIENTS; IMMUNOTHERAPY; THERAPY; ADULTS;
D O I
10.3390/biomedicines12081721
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Allogeneic stem cell transplant (ASCT) remains the only treatment option for patients with high-risk acute myeloid leukemia (AML). Recurrence of leukemic cells after ASCT represents a dramatic event associated with a dismal outcome, with a 2-year survival rate of around 20%. Adoptive cell therapy (ACT) is a form of cell-based strategy that has emerged as an effective therapy to treat and prevent post-ASCT recurrence. Lymphocytes are the principal cells used in this therapy and can be derived from a hematopoietic stem cell donor, the patient themselves, or healthy donors, after being engineered to express the chimeric antigen receptor (CAR-T and UniCAR-T). In this review, we discuss recent advances in the established strategy of donor lymphocyte infusion (DLI) and the progress and challenges of CAR-T cells.
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