CAR T cell therapy for multiple myeloma: where are we now and where are we headed?

被引:45
|
作者
Ghosh, Arnab [1 ]
Mailankody, Sham [2 ]
Giralt, Sergio A. [3 ,4 ]
Landgren, C. Ola [2 ]
Smith, Eric L. [2 ,4 ]
Brentjens, Renier J. [4 ,5 ]
机构
[1] Mem Sloan Kettering Canc Ctr, Hematol Oncol BMT Fellowship Program, 1275 York Ave, New York, NY 10021 USA
[2] Mem Sloan Kettering Canc Ctr, Dept Med, Div Hematol Oncol, Myeloma Serv, 1275 York Ave, New York, NY 10021 USA
[3] Mem Sloan Kettering Canc Ctr, Adult BMT Serv, 1275 York Ave, New York, NY 10021 USA
[4] Mem Sloan Kettering Canc Ctr, Cellular Therapeut Ctr, 1275 York Ave, New York, NY 10021 USA
[5] Mem Sloan Kettering Canc Ctr, Dept Med, Leukemia Serv, 1275 York Ave, New York, NY 10021 USA
关键词
Multiple myeloma; chimeric antigen receptors; BCMA; hematopoietic cell transplantation; CAR; immunotherapy; TCR; DONOR LYMPHOCYTE INFUSIONS; B-CELL; MATURATION ANTIGEN; PLASMA-CELLS; MHC BARRIERS; BONE-MARROW; RECEPTOR; TRANSPLANTATION; CANCER; CD38;
D O I
10.1080/10428194.2017.1393668
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
While recent progress has been made in the management of multiple myeloma, it remains a highly fatal malignancy especially among patients with relapsed-refractory disease. Immunotherapy with adoptive T cells targeting myeloma-associated antigens are at various stages of development and have brought about a new hope for cure. This is a review on the emerging field of adoptively transferred engineered T cell based approaches, with an in-depth focus on chimeric antigen receptors (CAR) targeting multiple myeloma. The recent results from CAR T cells targeting B cell maturation antigen are encouraging but eventual resistance to the CAR T cell therapies remain problematic. With newer approaches in therapies for multiple myeloma, the role of transplantation is evolved to form a platform for T cell therapies.
引用
收藏
页码:2056 / 2067
页数:12
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