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首页> 外文期刊>Expert opinion on biological therapy >Chimeric antigen receptor T-cell therapy for the treatment of aggressive B-cell non-Hodgkin lymphomas: efficacy, toxicity, and comparative chimeric antigen receptor products
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Chimeric antigen receptor T-cell therapy for the treatment of aggressive B-cell non-Hodgkin lymphomas: efficacy, toxicity, and comparative chimeric antigen receptor products

机译:嵌合抗原受体T细胞疗法治疗侵袭性B细胞非霍奇金淋巴瘤:疗效,毒性和比较嵌合抗原受体产物

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ABSTRACT Introduction: Traditionally, outcomes for patients with relapsed/refractory aggressive B-cell non-Hodgkin lymphoma have been poor. There has been a clear need for effective therapeutic options that could produce durable remissions with a reasonable safety profile. The approval of chimeric antigen receptor (CAR) T-cell therapies has been revolutionary in the field because CART-cells meet this need for a substantial number of patients. With multiple approved CAR T-cell products and more expected soon, it can be difficult to distinguish between the various products and decide which to use. Effective CAR T-cell therapeutic choice is enhanced by an understanding of the biology of CAR T-cell, as well as the mechanisms associated with both efficacy and toxicity. Areas Covered: Biology of CAR T-cells, as well as a discussion of their efficacy and toxicity. Mechanisms of resistance, current unanswered questions in the field, issues associated with choosing a CAR T-cell product, and future directions for the advancement of CAR T-cell therapy. Expert Opinion: Due to differences in study populations and manufacturing times, it is too early to know if there is a 'best' choice for CAR T-cell therapy. Decisions must be individualized taking into account patient factors and expected toxicity.
机译:摘要介绍:传统上,复发/难治性侵略性B细胞非霍奇金淋巴瘤的患者的结果差。有明确的需要有效的治疗选择,可以产生合理的安全概况的持久解除。嵌合抗原受体(轿厢)T细胞疗法的批准在该领域已经革命性,因为购物车细胞满足大量患者的需求。通过多种批准的汽车T细胞产品,很快预期,可能难以区分各种产品并决定使用该产品。通过了解汽车T细胞的生物学来增强有效的汽车T细胞治疗选择,以及与疗效和毒性相关的机制。涵盖的区域:汽车T细胞的生物学,以及讨论它们的疗效和毒性。抵抗机制,现场的当前未解答的问题,与选择汽车T细胞产品相关的问题,以及汽车T细胞疗法进程的未来方向。专家意见:由于研究人口和制造时间的差异,现在知道是否有“最佳”的汽车T细胞疗法选择。决定必须考虑到患者因素和预期的毒性。

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