CAR-T细胞治疗淋巴瘤的进展
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作者单位:

华中科技大学同济医学院附属协和医院,血液病研究所,湖北 武汉,430022

作者简介:

廖丹颖,女,博士,副主任医师,研究方向:CAR-T细胞治疗。

通讯作者:

梅恒,男,博士生导师,教授,主任医师,研究方向:CAR-T细胞治疗、血栓与止血。

中图分类号:

R733

基金项目:

★国家自然科学基金项目(青年项目82000141)。


Advances in CAR-T cell therapy for lymphoma
Author:
Affiliation:

Institute of Hematology, Union Hospital, Tongji Medical School, Huazhong University of Science and Technology, Wuhan, 430022, Hubei, China

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    摘要:

    CD19 CAR-T细胞治疗复发/难治性B细胞淋巴瘤取得了前所未有的应答率和持久的缓解。CAR-T细胞治疗在国内外迅速获批用于治疗二线以上复发/难治性大B细胞淋巴瘤,随后其套细胞淋巴瘤和滤泡性淋巴瘤的适应证也相继获批。CAR-T细胞治疗改变了B细胞淋巴瘤治疗的格局。随着CAR-T细胞在真实世界的广泛应用和早期治疗病例随访时间的延长,有部分患者可通过CAR-T细胞治疗获得临床治愈,这进一步肯定了CAR-T细胞在治疗高危淋巴瘤中的作用和地位。然而,CAR-T细胞治疗也还存在着许多问题,如患者的选择和治疗的时机、与现有治疗方式的优劣对比;同时也面临着很多的挑战,如通过桥接治疗以及联合治疗进一步提高安全性和有效性,进一步确认对霍奇金淋巴瘤、T细胞淋巴瘤等疾病的治疗作用等。本文将概述CAR-T细胞治疗淋巴瘤的相关进展,并浅要讨论CAR-T细胞治疗的相关问题及解决方法。

    Abstract:

    CD19 CAR-T cell therapy for relapsed and refractory (R/R) B-cell lymphoma has achieved an unprecedented response rate and durable remission. Then CAR-T cell therapy has been rapidly approved at home and abroad for the treatment of more than the second lines of R/R large B-cell lymphoma. Subsequently, its indication of mantle cell lymphoma and follicular lymphoma has been approved. CAR-T cell therapy has changed the treatment paradigm of B-cell lymphoma. With its wide application in the real world and the long follow-up time, some patients can be clinically cured by CAR-T cell therapy, which further confirms the leading role of CAR-T cell therapy in high-risk lymphoma. Yet, CAR-T cell therapy still has many problems, such as patient selection and treatment timing, advantages and disadvantages in comparison with existing treatments. At the same time, it also faces many challenges, such as further improving the safety and effectiveness with bridging therapy and combination therapy, and CAR-T cell has not yet shown a positive effect on Hodgkin’s lymphoma and T-cell lymphoma. In this review, we summarized the current progress in CAR-T cell therapy for lymphoma, and briefly discussed the related problems and their solutions.

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廖丹颖,梅恒. CAR-T细胞治疗淋巴瘤的进展[J].肿瘤药学,2024,14(1):9-15 ( in Chinese)

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  • 在线发布日期: 2024-04-08
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