Resistance and recurrence of malignancies after CAR-T cell therapy

被引:14
作者
Zeng, Wanying [1 ]
Zhang, Pumin [1 ,2 ,3 ]
机构
[1] Guangxi Med Univ, Natl Ctr Int Res Biotargeting Theranost, Collaborat Innovat Ctr Targeting Tumor Diag & The, Guangxi Key Lab Biotargeting Theranost,Guangxi Ta, Nanning 530021, Guangxi, Peoples R China
[2] Zhejiang Univ, Zhejiang Prov Key Lab Pancreat Dis, Affiliated Hosp 1, Hangzhou 310003, Zhejiang, Peoples R China
[3] Zhejiang Univ, Inst Translat Med, Med Sch, Hangzhou 310058, Zhejiang, Peoples R China
关键词
CAR-T cell therapy; Resistance; Recurrence; Mechanisms; Treatment strategies; CHIMERIC-ANTIGEN-RECEPTOR; ACUTE LYMPHOBLASTIC-LEUKEMIA; UMBILICAL-CORD BLOOD; MEMORY STEM-CELLS; ADOPTIVE IMMUNOTHERAPY; REGENERATIVE THERAPY; ANTITUMOR IMMUNITY; GENE-THERAPY; PHASE-I; TUMOR;
D O I
10.1016/j.yexcr.2021.112971
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The emergence of chimeric antigen receptor T (CAR-T) cell therapy has ushered a new era in cancer therapy, especially the treatment of hematological malignancies. However, resistance and recurrence still occur in some patients after CAR-T cell treatment. CAR-T cell inefficiency and tumor escape have emerged as the main chal-lenges for the long-term disease control of B cell malignancies by this promising immunotherapy. In solid tumor treatment, CAR-T cells must also overcome many hurdles from the tumor or immune-suppressed tumor envi-ronment, which have become obstacles to the advancement of CAR-T therapy. Therefore, an understanding of the mechanisms underlying post-CAR treatment failure in patients is necessary. In this review, we characterize some mechanisms of resistance and recurrence after CAR-T cell therapy and correspondingly suggest reasonable treatment strategies.
引用
收藏
页数:10
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