Hitesh Chopra, Shivani Chopra, Sonia Arora, K. Dhama
{"title":"CAR T-cells therapy as a ray of hope for cancer treatment","authors":"Hitesh Chopra, Shivani Chopra, Sonia Arora, K. Dhama","doi":"10.24294/ti.v8.i2.2432","DOIUrl":null,"url":null,"abstract":"New hope for patients with specific blood malignancies has arisen with the emergence of chimeric antigen receptor (CAR) T-cell therapy as a revolutionary approach to cancer immunotherapy. This groundbreaking therapy modifies a patient’s immune system such that their own T cells can identify and destroy cancer-specific antigens by expressing CARs. Multiple myeloma, lymphomas, and leukemias are among the blood malignancies that have been treated with six CAR T-cell treatments that have been approved by the FDA since 2017. The treatment entails drawing T cells out of the patient’s blood, changing their genes to produce CARs, and then reintroducing these modified cells into the patient. The CAR T-cells have the ability to identify cancer cells, proliferate, and kill them once they enter the circulation. This might lead to long-term protection from the illness. Patients with blood malignancies who have relapsed or are resistant to previous treatments have shown encouraging results in clinical studies, with some patients even managing to achieve long-term remissions. Cytokine release syndrome and neurological toxicities are two of the many potential adverse effects of CAR T-cell treatment that must be carefully managed. The complicated production method and expensive treatment cost further restrict its broad availability. Research is ongoing with the goals of improving the safety profile, increasing the effectiveness, and expanding the applicability of CAR T-cell therapy to solid tumors.","PeriodicalId":401129,"journal":{"name":"Trends in Immunotherapy","volume":"50 9","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Trends in Immunotherapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24294/ti.v8.i2.2432","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
New hope for patients with specific blood malignancies has arisen with the emergence of chimeric antigen receptor (CAR) T-cell therapy as a revolutionary approach to cancer immunotherapy. This groundbreaking therapy modifies a patient’s immune system such that their own T cells can identify and destroy cancer-specific antigens by expressing CARs. Multiple myeloma, lymphomas, and leukemias are among the blood malignancies that have been treated with six CAR T-cell treatments that have been approved by the FDA since 2017. The treatment entails drawing T cells out of the patient’s blood, changing their genes to produce CARs, and then reintroducing these modified cells into the patient. The CAR T-cells have the ability to identify cancer cells, proliferate, and kill them once they enter the circulation. This might lead to long-term protection from the illness. Patients with blood malignancies who have relapsed or are resistant to previous treatments have shown encouraging results in clinical studies, with some patients even managing to achieve long-term remissions. Cytokine release syndrome and neurological toxicities are two of the many potential adverse effects of CAR T-cell treatment that must be carefully managed. The complicated production method and expensive treatment cost further restrict its broad availability. Research is ongoing with the goals of improving the safety profile, increasing the effectiveness, and expanding the applicability of CAR T-cell therapy to solid tumors.
嵌合抗原受体(CAR)T 细胞疗法是一种革命性的癌症免疫疗法,它的出现为特定血液恶性肿瘤患者带来了新的希望。这种突破性疗法可改变患者的免疫系统,使其自身的 T 细胞能通过表达 CAR 来识别和消灭癌症特异性抗原。多发性骨髓瘤、淋巴瘤和白血病等血液恶性肿瘤,自2017年以来已有六种CAR T细胞疗法获得美国食品及药物管理局批准。这种疗法需要从患者血液中提取T细胞,改变其基因以产生CAR,然后将这些经过修饰的细胞重新输入患者体内。CAR T 细胞具有识别癌细胞、增殖并在进入血液循环后杀死癌细胞的能力。这可能会使患者长期免受疾病困扰。在临床研究中,复发或对以往治疗产生抗药性的血液恶性肿瘤患者取得了令人鼓舞的结果,一些患者甚至能够实现长期缓解。细胞因子释放综合征和神经系统毒性是 CAR T 细胞治疗的众多潜在不良反应中的两种,必须谨慎处理。复杂的生产方法和昂贵的治疗费用进一步限制了 CAR T 细胞的广泛应用。目前正在进行的研究旨在改善 CAR T 细胞疗法的安全性,提高其有效性,并扩大其在实体瘤中的适用范围。