2023
DOI: 10.5045/br.2023.2023177
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Recent advances in cellular immunotherapy for lymphoid malignancies

Haerim Chung,
Hyunsoo Cho

Abstract: Cellular immunotherapy with chimeric antigen receptor (CAR) T-cells has revolutionized the treatment of lymphoid malignancies. This review addresses the need for CAR expression in our endogenous T-cells to kill tumor cells with a focus on the basic principles of T-cell receptor recognition of major histocompatibility complex-peptide complexes. We review the factors associated with CAR T-cell outcomes and recent efforts to employ CAR T-cells in earlier lines of therapy. We also discuss the value of bispecific T… Show more

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“…We are in the era of immunotherapy for B-ALL with CD19/CD3 bispecifics and CD19 CAR T cells. Despite high short-term response rates, a significant proportion of patients experience relapses, and patients with CD19-negative relapse have shown to have a poor prognosis. , However, monitoring MRD and diagnosing relapse by flow cytometry in patients with CD19-negative relapse have been challenging due to the loss of one of the target antigen. Therefore, identifying blasts in a CD19-negative population is an important issue in real-world practice.…”
Section: Discussionmentioning
confidence: 99%
“…We are in the era of immunotherapy for B-ALL with CD19/CD3 bispecifics and CD19 CAR T cells. Despite high short-term response rates, a significant proportion of patients experience relapses, and patients with CD19-negative relapse have shown to have a poor prognosis. , However, monitoring MRD and diagnosing relapse by flow cytometry in patients with CD19-negative relapse have been challenging due to the loss of one of the target antigen. Therefore, identifying blasts in a CD19-negative population is an important issue in real-world practice.…”
Section: Discussionmentioning
confidence: 99%
“…However, our work suggests that the ability of NKG2D CAR NK cells may be impaired in the context of large tumor volume and high level of sMICA, thus testing whether this could be overcome by huB10G5 might be a beneficial synergistic strategy to improve cellular immunotherapy outcome. 74 This combination presents opportunities to improve NKG2D-dependent NK cell-mediated immunotherapy strategies providing the advantage of not only clearing sMICA but also promoting ADCC, as huB10G5 and the NKG2D receptor binds to MIC differently to allow engagement of NKG2D on NK cells against MIC-expressing cells. 38 In conclusion, we show that the MICA/B gene expressions are enriched in MM and high level of MICA expression is associated with better OS.…”
Section: Discussionmentioning
confidence: 99%