Title |
Chimeric antigen receptors for the adoptive T cell therapy of hematologic malignancies
|
---|---|
Published in |
International Journal of Hematology, December 2013
|
DOI | 10.1007/s12185-013-1479-5 |
Pubmed ID | |
Authors |
Marco L. Davila, Diana C. G. Bouhassira, Jae H. Park, Kevin J. Curran, Eric L. Smith, Hollie J. Pegram, Renier Brentjens |
Abstract |
The genetic modification of autologous T cells with chimeric antigen receptors (CARs) represents a breakthrough for gene engineering as a cancer therapy for hematologic malignancies. By targeting the CD19 antigen, we have demonstrated robust and rapid anti-leukemia activity in patients with heavily pre-treated and chemotherapy-refractory B cell acute lymphoblastic leukemia (B-ALL). We demonstrated rapid induction of deep molecular remissions in adults, which has been recently confirmed in a case report involving a child with B-ALL. In contrast to the results when treating B-ALL, outcomes have been more modest in patients with chronic lymphocytic leukemia (CLL) or other non-hodgkin's lymphoma (NHL). We review the clinical trial experience targeting B-ALL and CLL and speculate on the possible reasons for the different outcomes and propose potential optimization to CAR T cell therapy when targeting CLL or other indolent NHL. Lastly, we discuss the pre-clinical development and potential for clinical translation for using CAR T cells against multiple myeloma and acute myeloid leukemia. We highlight the potential risks and benefits by targeting these poor outcome hematologic malignancies. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 14 | 35% |
Canada | 1 | 3% |
India | 1 | 3% |
Spain | 1 | 3% |
United Kingdom | 1 | 3% |
Syrian Arab Republic | 1 | 3% |
Saudi Arabia | 1 | 3% |
Australia | 1 | 3% |
Comoros | 1 | 3% |
Other | 0 | 0% |
Unknown | 18 | 45% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 22 | 55% |
Scientists | 7 | 18% |
Practitioners (doctors, other healthcare professionals) | 7 | 18% |
Science communicators (journalists, bloggers, editors) | 3 | 8% |
Unknown | 1 | 3% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 1% |
Netherlands | 1 | <1% |
Portugal | 1 | <1% |
Brazil | 1 | <1% |
Unknown | 178 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 30 | 16% |
Student > Bachelor | 29 | 16% |
Researcher | 26 | 14% |
Student > Master | 24 | 13% |
Other | 15 | 8% |
Other | 21 | 11% |
Unknown | 38 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 54 | 30% |
Agricultural and Biological Sciences | 32 | 17% |
Biochemistry, Genetics and Molecular Biology | 31 | 17% |
Pharmacology, Toxicology and Pharmaceutical Science | 11 | 6% |
Immunology and Microbiology | 9 | 5% |
Other | 10 | 5% |
Unknown | 36 | 20% |