The latest trends in improving CAR-T cell therapy: from leukemia to solid malignant tumors

Author:

Ershov A. V.1ORCID,Demyanov G. V.2ORCID,Nasrullaeva D. A.2ORCID,Radkevich E. R.2ORCID,Dolgikh V. T.3ORCID,Sidorova N. V.4ORCID,Valiev T. T.4ORCID,Efimova M. M.4ORCID,Machneva E. B.5ORCID,Kirgizov K. I.4ORCID,Kiselevsky M. V.4ORCID,Manasova Z. Sh.2ORCID

Affiliation:

1. I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University); V.A. Negovsky Research Institute of General Reanimatology, Federal Scientific and Clinical Center of Reanimatology and Rehabilitation, Ministry of Science and Higher Education of the Russian Federation

2. I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

3. V.A. Negovsky Research Institute of General Reanimatology, Federal Scientific and Clinical Center of Reanimatology and Rehabilitation, Ministry of Science and Higher Education of the Russian Federation

4. N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia

5. N.N. Blokhin National Medical Research Centre of Oncology, Ministry of Health of Russia; Russian Children's Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

Abstract

CAR-Т cell therapy with the use of cytotoxic lymphocytes with chimeric antigen receptors occupies an important place among modern approaches to the cancer treatment. This therapy has established itself as an effective method of the treatment of CD19+ acute lymphoblastic leukemia. Nevertheless, the recurrences of the illness are not uncommon; the treatment of solid tumors with genetically engineered lymphocytes shows modest results and it is accompanied by the high toxicity. One thing, however, is certain: CAR-Т cell therapy has great potential in the treatment of cancer and further improving of the structure and functions of genetically engineered lymphocytes with chimeric Т cell receptors help greatly increase the efficiency of antitumor treatment.The review includes the current data on the structure of chimeric lymphocytes of different generations and the trends in improving CAR-Т cell therapy. It includes also the fundamental platform for formation of ideology of use CAR-Т cells for the treatment of solid malignant tumors.

Publisher

OOO Grafika

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

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