临床血液学杂志2024,Vol.37Issue(7) :446-452.DOI:10.13201/j.issn.1004-2806.2024.07.002

CS1-BCMA双靶CAR-T细胞治疗多发性骨髓瘤的研究进展

Research advance of CS1-BCMA bispecific CAR-T cell therapy in multiple myeloma

胡豫 梅恒 李成功
临床血液学杂志2024,Vol.37Issue(7) :446-452.DOI:10.13201/j.issn.1004-2806.2024.07.002

CS1-BCMA双靶CAR-T细胞治疗多发性骨髓瘤的研究进展

Research advance of CS1-BCMA bispecific CAR-T cell therapy in multiple myeloma

胡豫 1梅恒 1李成功1
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作者信息

  • 1. 华中科技大学同济医学院附属协和医院血液病研究所(武汉,430022);湖北省肿瘤疾病细胞治疗临床医学研究中心
  • 折叠

摘要

在难治/复发多发性骨髓瘤(refractory/relapsed multiple myeloma,RRMM)中,嵌合抗原受体T细胞(chimeric antigen receptor-T,CAR-T)治疗代表了一项重大的科学进步,对许多患者来说,具有高反应率和长期缓解.尽管如此,肿瘤细胞表面靶抗原下调可导致反应较差和疾病复发.目前获批用于治疗RRMM的CAR-T细胞疗法仅针对B细胞成熟抗原(Bcell maturation antigen,BCM A).虽然BCMA-CAR-T细胞治疗的反应率高,但其对靶抗原的选择性压力可引起BCMA表达丢失和MM细胞逃逸.双靶CAR-T细胞理论上具有靶向性更广和减轻单靶逃逸的优势.BCMA和CS1在MM细胞上高表达,被认为是MM免疫治疗的理想靶点.文章总结了商品化BCMA-CAR-T细胞治疗RRMM和CS1-CAR-T细胞治疗MM的研究进展,并重点讨论了 CS1-BCMA CAR-T细胞治疗的早期试验结果.

Abstract

In refractory/relapsed multiple myeloma(RRMM),chimeric antigen receptor-T(CAR-T)cell therapy represents a significant scientific advancement,with high response rates and long-term remission for many patients.However,target antigen downregulation on tumor cells can lead to poor response and disease recurrence.Currently,CAR-T cell therapy approved for the treatment of RRMM only targets B cell maturation antigen(BC-MA).Although BCMA-CAR-T cell therapy has a high response rate,its selective pressure on target antigens can cause BCMA loss and MM escape.Bispecific CAR-T cells theoretically have the advantages of broader targeting and less single-target escape.BCMA and CS1 are highly expressed on MM cells and are considered ideal targets for MM immunotherapy.This review summarizes the research progress of commercial BCMA-CAR-T cell therapy for RRMM and CS1-CAR-T cell therapy for MM and focuses on the primary results of CS1-BCMA CAR-T cells.

关键词

多发性骨髓瘤/嵌合抗原受体T细胞治疗/B细胞成熟抗原/CS1/双靶

Key words

multiple myeloma/chimeric antigen receptor-T cell therapy/B cell maturation antigen/CS1/bispecific

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出版年

2024
临床血液学杂志
华中科技大学同济医学院血液病研究所 北京医科大学血液病研究所

临床血液学杂志

CSTPCD
影响因子:1.063
ISSN:1004-2806
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