Anti-CD19 CAR-T cells: Digging in the dark side of the golden therapy

被引:16
作者
Bouziana, Stella [1 ]
Bouzianas, Dimitrios [2 ]
机构
[1] G Papanikolaou Hosp, Dept Hematol, BMT Unit, Thessaloniki 57010, Greece
[2] BReMeL Biopharmaceut & Regenerat Med Labs, Thessaloniki, Greece
关键词
CAR-T cells; Acute lymphoblastic leukemia; Non-Hodgkin lymphoma; Resistance mechanisms; Relapse; Antigen escape; CHIMERIC ANTIGEN RECEPTORS; ACUTE LYMPHOBLASTIC-LEUKEMIA; B-CELL; ADOPTIVE IMMUNOTHERAPY; CD19; RESISTANCE; EXPANSION; CD8(+); REMISSIONS; EXPRESSION;
D O I
10.1016/j.critrevonc.2020.103096
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The unprecedented technological advances in genetic engineering have resulted in the advent of the very promising chimeric antigen receptor (CAR)-T cell therapy. Based on the striking outcomes of clinical trials, the first two commercial CAR-T cell products, tisagenlecleucel and axicabtagene ciloleucel, have been approved in both the United States and Europe for the treatment of patients with highly aggressive CD19-positive hematological malignancies. Despite the initial remarkable responses many patients finally relapse, implying the presence of resistance mechanisms. In this review, we describe the limitations and resistance mechanisms to antiCD19 CAR-T cells and address potential strategies to overcome CAR-T cell barriers.
引用
收藏
页数:12
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