CD19-Targeted CAR T Cells: A New Tool in the Fight against B Cell Malignancies

被引:21
作者
Miller, Brian C. [1 ]
Maus, Marcela V. [2 ]
机构
[1] Dana Farber Canc Inst, Dept Med Oncol, Boston, MA 02115 USA
[2] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Ctr Canc, Boston, MA USA
关键词
CAR T cell; CD19; T cell therapies; Adoptive transfer; B cell; Chimeric antigen receptor; Immunotherapy; CHRONIC LYMPHOCYTIC-LEUKEMIA; ACUTE LYMPHOBLASTIC-LEUKEMIA; ADOPTIVE IMMUNOTHERAPY; SUSTAINED REMISSIONS; ADVERSE EVENT; CD19; ANTIGEN; PHASE-I; RECEPTOR; LYMPHOMA; CHEMOTHERAPY;
D O I
10.1159/000442170
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Adoptive cell immunotherapy is a novel tool in the fight against cancer. Serving both effector and memory functions for the immune system, T cells make an obvious candidate for adoptive cell immunotherapy. By modifying native T cells with a chimeric antigen receptor (CAR), these cells can theoretically be targeted against any extracellular antigen. To date, the best-studied and clinically validated CAR T cells recognize CD19, a cell surface molecule on B cells and B cell malignancies. These CD19-directed T cells have shown clinical utility in chronic lymphocytic leukemia, acute lymphoblastic leukemia (ALL), and non-Hodgkin's lymphomas, with some patients achieving long-term disease remissions after treatment. This review will briefly summarize the current data supporting the use of adoptively transferred CAR T cells for the treatment of CD19-positive malignancies. Given these exciting results, the Food and Drug Administration has granted a 'breakthrough' designation for several variations of CD19-directed CAR T cells for treatment of adult and pediatric relapsed/refractory ALL. (C) 2015 S. Karger GmbH, Freiburg
引用
收藏
页码:683 / 690
页数:8
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