骨髓微环境在使用CAR-T疗法的多发性骨髓瘤治疗中的作用
Hao Yao1, Lei Cheng2, Dan Chen1
1Department of Hematology and Hematopoietic Stem Cell Transplantation Center, General Hospital of the Chinese People's Liberation Army Western Theatre, Chengdu, SiChuan, China.
Expert review of anticancer therapy
|June 21, 2023
概括
卡尔-T细胞疗法对多发性骨髓瘤 (MM) 是有前途的,但疗效持续时间有限. 准骨髓微环境可能会增强CAR-T细胞对MM复发的有效性.
科学领域:
- 血液学恶性瘤是什么
- 免疫治疗是一种免疫疗法.
- 癌症生物学 癌症生物学
背景情况:
- 多发性骨髓瘤 (MM) 是第二常见的血液性恶性瘤,其特征是骨髓中异常的血细胞增殖.
- 针对MM特异性标记物的化学抗原受体T (CAR-T) 细胞疗法已经证明了临床疗效.
- 对于MM的CAR-T治疗的局限性包括反应的持续时间不足和疾病复发.
研究的目的:
- 审查MM的骨髓细胞种群.
- 通过准骨髓微环境,探索改善MM中CAR-T细胞治疗效率的策略.
主要方法:
- 关于多发性骨髓瘤骨髓微环境的科学文献的综述.
- 在MM骨髓中分析免疫和非免疫细胞群.
- 在骨髓微环境中讨论潜在的治疗点.
主要成果:
- 骨髓微环境,包括免疫和非免疫细胞,影响MM中的CAR-T细胞活性.
- 骨髓微环境中的T细胞活性受损可能会限制CAR-T疗法的疗效.
- 识别和准骨髓中的特定细胞群体提供了增强CAR-T细胞功能的潜在策略.
结论:
- 准骨髓微环境是克服多发性骨髓瘤CAR-T治疗局限性的新方法.
- 调节MM骨髓环境可以提高CAR-T细胞治疗的持续疗效.
- 这一策略可能为改善多发性骨髓瘤患者的治疗结果提供新的途径.
更多相关视频
06:33Author Spotlight: Analyzing Bone Marrow Microenvironment in Murine Hematological Malignancies
Published on: November 10, 2023
1.3K
09:34Dynamic Imaging of Chimeric Antigen Receptor T Cells with [18F]Tetrafluoroborate Positron Emission Tomography/Computed Tomography
Published on: February 17, 2022
3.4K
相关概念视频
Bone Marrow Sampling and Transplants
363
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
363
Stem Cell Therapy for Tissue Regeneration
4.1K
Stem cell therapy is a method used in regenerative medicine to repair and restore function to damaged tissues and organs. Stem cells have the potential to proliferate and differentiate into various tissue types, making them ideal candidates for tissue regeneration. For example, hematopoietic stem cell transplants are commonly used in blood cancer treatment to replenish damaged bone marrow and restore healthy blood cells.
Types of Stem Cells used in Stem Cell Therapy
The two main cell...
Types of Stem Cells used in Stem Cell Therapy
The two main cell...
4.1K
The Tumor Microenvironment
6.7K
Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
6.7K
Tumor Immunotherapy
575
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
575
