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血液系统恶性肿瘤通用型CAR-T细胞治疗进展:GvHD/HvG应对策略

田晟宇 卢伟祥 梁晓杰 王亮

中国癌症防治杂志2025,Vol.17Issue(2):223-229,7.
中国癌症防治杂志2025,Vol.17Issue(2):223-229,7.DOI:10.3969/j.issn.1674-5671.2025.02.14

血液系统恶性肿瘤通用型CAR-T细胞治疗进展:GvHD/HvG应对策略

Advances in universal CAR-T cell therapy for hematologic malignancies:strategies to over-come GvHD/HvG

田晟宇 1卢伟祥 1梁晓杰 1王亮1

作者信息

  • 1. 100176 北京 首都医科大学附属北京同仁医院血液科
  • 折叠

摘要

Abstract

Chimeric antigen receptor(CAR)-T cell therapy has demonstrated remarkable success in the treatment of hematologic ma-lignancies.However,currently approved CAR-T products are predominantly autologous,which face limitations including lengthy manu-facturing processes,high costs,and the variability of product quality,restricting their broad clinical application.Universal CAR-T(UCAR-T)therapy,developed from healthy donor-derived T cells,through ex vivo modification and expansion,offer an"off-the-shelf"product that enable on-demand treatment,thereby overcoming the constraints of autologous CAR-T.Nevertheless,UCAR-T therapy remain challenged at complications including graft-versus-host disease(GvHD)and host-versus-graft reaction(HvG).This review summa-rizes recent progress on strategies to mitigate GvHD and HvG in UCAR-T therapy,including gene editing,non-gene-editing technolo-gies,and optimal cell source selection.

关键词

血液系统恶性肿瘤/CAR-T细胞疗法/通用型CAR-T细胞治疗/移植物抗宿主病/宿主抗移植物反应

Key words

Hematologic malignancies/CAR-T cell therapy/Universal CAR-T/Graft-versus-host disease/Host-versus-graft reaction

分类

医药卫生

引用本文复制引用

田晟宇,卢伟祥,梁晓杰,王亮..血液系统恶性肿瘤通用型CAR-T细胞治疗进展:GvHD/HvG应对策略[J].中国癌症防治杂志,2025,17(2):223-229,7.

基金项目

国家自然科学基金资助项目(82370188 ()

82170181) ()

中国癌症防治杂志

1674-5671

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