Chimeric antigen receptor T-cells for B-cell malignancies.

Autor: Lichtman EI; Department of Medicine, University of North Carolina, Chapel Hill, NC; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC. Electronic address: eben.lichtman@unchealth.unc.edu., Dotti G; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC; Department of Microbiology and Immunology, University of North Carolina, Chapel Hill, NC.
Jazyk: angličtina
Zdroj: Translational research : the journal of laboratory and clinical medicine [Transl Res] 2017 Sep; Vol. 187, pp. 59-82. Date of Electronic Publication: 2017 Jun 29.
DOI: 10.1016/j.trsl.2017.06.011
Abstrakt: The adoptive transfer of T-lymphocytes modified to express chimeric antigen receptors (CAR-Ts) has produced impressive clinical responses among patients with B-cell malignancies. This has led to a rapid expansion in the number of clinical trials over the past several years. Although CD19-specific CAR-Ts are the most extensively evaluated, CAR-Ts specific for other B-cell-associated targets have also shown promise. However, despite this success, toxicities associated with CAR-T administration remain a significant concern. There continues to be substantial heterogeneity among CAR-T products, and differences in both CAR designs and CAR-T production strategies can substantially affect clinical outcomes. Ongoing clinical studies will further elucidate these differences and many other innovative approaches are being evaluated at the preclinical level. In this review, we will discuss the background and rationale for the use of CAR-Ts, provide an overview of advances in the field, and examine the application of CAR-Ts to the treatment of B-cell malignancies, including a summary of clinical trials published to date.
(Copyright © 2017 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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