Frontiers in CAR-T cell therapy for autoimmune diseases

被引:20
作者
Li, Yan-Ruide [1 ]
Lyu, Zibai [1 ]
Chen, Yuning [1 ]
Fang, Ying [1 ]
Yang, Lili [1 ,2 ,3 ,4 ]
机构
[1] Univ Calif Los Angeles, Dept Microbiol Immunol & Mol Genet, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, Mol Biol Inst, Los Angeles, CA 90095 USA
[3] Univ Calif Los Angeles, Eli & Edythe Broad Ctr Regenerat Med & Stem Cell R, Los Angeles, CA 90095 USA
[4] Univ Calif Los Angeles, David Geffen Sch Med, Jonsson Comprehens Canc Ctr, Los Angeles, CA 90095 USA
关键词
RHEUMATOID-ARTHRITIS PATIENTS; B-CELLS; LEUKEMIA; RITUXIMAB; BELIMUMAB; EFFICACY; ANTIBODY; COLITIS; MODELS; FUTURE;
D O I
10.1016/j.tips.2024.07.005
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Chimeric antigen receptor (CAR)-engineered T (CAR-T) cell therapy has demonstrated significant success in treating cancers. The potential of CAR-T cells is now being explored in the context of autoimmune diseases. Recent clinical trials have shown sustained and profound elimination of autoreactive B cells by CAR-T cells, leading to promising autoimmune disease control with minimal safety concerns. These encouraging results have inspired further investigation into CAR-T cell applications for a broader range of autoimmune diseases and the development of advanced cell products with improved efficacy and safety. In this review, we discuss the mechanisms by which CAR-T cells target autoimmune conditions, summarize current preclinical models, and highlight ongoing clinical trials, including CAR-T therapy design, clinical outcomes, and challenges. Additionally, we discuss the limitations and future directions of CAR-T therapy in the treatment of autoimmune diseases.
引用
收藏
页码:839 / 857
页数:19
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