在自身免疫性疾病中使用CAR T细胞治疗
Georg Schett1, Andreas Mackensen2, Dimitrios Mougiakakos3
1Department of Internal Medicine 3-Rheumatology and Immunology, Friedrich Alexander Universität Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany; Deutsches Zentrum Immuntherapie, Friedrich Alexander Universität Erlangen-Nürnberg and Universitätsklinikum Erlangen, Erlangen, Germany.
Lancet (London, England)
|September 25, 2023
概括
针对CD19的化学抗原受体 (CAR) T细胞为自身免疫性疾病提供了一种新方法. 这些工程T细胞会耗尽自身反应的B细胞,
科学领域:
- 免疫学与医学
背景情况:
- 自身免疫性疾病如狼,类风湿性关节炎和多发性硬化症都涉及自身反应性B细胞.
- 目前的治疗方法,包括消耗B细胞的抗体,往往由于特定组织中持续存在的自身反应性B细胞而失败.
- 化学抗原受体 (CAR) T细胞疗法已在治疗B细胞恶性瘤方面取得成功.
研究的目的:
- 审查使用CAR T细胞向自身反应性B细胞的发展策略.
- 探索CAR T细胞治疗自身免疫性疾病的潜力.
主要方法:
- 使用针对CD19抗原的仿真抗原受体 (CARs) 设计的自身T细胞.
- 在临床前和临床环境中研究CD19CART细胞对自身免疫疾病的疗效.
主要成果:
- CD19 CAR T 细胞诱导循环B细胞的快速和持续耗尽.
- 在耐火性系统性红斑狼和皮肤肌炎患者中观察到成功的临床和血清缓解.
- 在淋巴器官和炎症组织中向持久自反应性B细胞的潜力已被证明.
结论:
- CD19 CAR T细胞治疗是一种有前途的新疗法,用于自身免疫性疾病.
- 这种方法提供了针对病原性自身反应性B细胞的向策略.
- 进一步研究CAR T细胞策略可能会彻底改变自身免疫性疾病的治疗.
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