The promise of chimeric antigen receptor T cells (CARTs) in leukaemia

被引:19
作者
Orlowski, Robert J. [1 ]
Porter, David L. [1 ]
Frey, Noelle V. [1 ]
机构
[1] Univ Penn, Dept Hematol Oncol, Philadelphia, PA USA
关键词
chimeric antigen receptor T cells; immunotherapy; leukaemia; ACUTE LYMPHOBLASTIC-LEUKEMIA; ACUTE MYELOID-LEUKEMIA; CYTOKINE RELEASE SYNDROME; B-CELL; ADOPTIVE IMMUNOTHERAPY; CANCER-IMMUNOTHERAPY; ENHANCED SURVIVAL; PROGNOSTIC INDEX; PD-1; BLOCKADE; CD19;
D O I
10.1111/bjh.14475
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The success of genetically engineered T cells that express chimeric antigen receptors ( CARTs) has been a momentous step forward in harnessing the potent cancer fighting abilities of the immune system. The efficacy seen in relapsed/refractory ( r/r) acute lymphoblastic leukaemia ( ALL), not only by inducing remission, but also in maintaining long-term disease control, has been unprecedented. While the foundation for this approach has been firmly set in place, continued development will improve the efficacy, toxicity and applicability to other malignancies of this new class of 'living drugs'. In this review, we provide a comprehensive overview of the most current clinical trial data in both acute and chronic leukaemias, and discuss some of the potential ways to enhance the activity and safety of CART therapy going forward.
引用
收藏
页码:13 / 26
页数:14
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