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CAR-T Cell Therapy in Hematological Malignancies: Current Opportunities and Challenges

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A novel and efficient tandem CD19- and CD22-directed CAR for B-cell ALL

Samanta Romina Zanetti et al.

MOLECULAR THERAPY (2021)

Article Oncology

Combining selective inhibitors of nuclear export (SINEs) with chimeric antigen receptor (CAR) T cells for CD19-positive malignancies

Sanmei Wang et al.

Summary: CAR T cells targeting CD19 have shown impressive clinical responses in lymphoid malignancies, but resistance and relapse remain challenges. Combining CAR T cells with selective inhibitors of nuclear export (SINEs) targeting XPO1 may reduce the risk of tumor escape, although simultaneous use of SINEs and CAR T cells may impair CAR T cell function. Sequential use of SINEs and CAR T cells could potentially enhance the anti-tumor efficacy of CAR T cells.

ONCOLOGY REPORTS (2021)

Article Biotechnology & Applied Microbiology

Anti-CD22 CAR-T Cell Therapy as a Salvage Treatment in B Cell Malignancies Refractory or Relapsed After Anti-CD19 CAR-T therapy

Haibo Zhu et al.

Summary: The anti-CD22-CAR T cell salvage therapy showed higher efficacy in R/R DLBCL patients compared to R/R B-ALL patients who had failed anti-CD19-CAR T cell therapy before. Further studies with larger sample sizes are needed for confirmation.

ONCOTARGETS AND THERAPY (2021)

Article Oncology

CD19/CD22 Dual-Targeted CAR T-cell Therapy for Relapsed/Refractory Aggressive B-cell Lymphoma: A Safety and Efficacy Study

Guoqing Wei et al.

Summary: Dual-targeted CAR T cells against CD19 and CD22 show promising antilymphoma effects in patients with relapsed/refractory aggressive B-cell lymphoma, with high objective response and complete response rates. The study suggests that achieving complete response and receiving fewer lines of prior chemotherapy are independent prognostic factors associated with favorable progression-free survival.

CANCER IMMUNOLOGY RESEARCH (2021)

Article Immunology

Risk of HBV Reactivation in Patients With Resolved HBV Infection Receiving Anti-CD19 Chimeric Antigen Receptor T Cell Therapy Without Antiviral Prophylaxis

Ping Li et al.

Summary: CAR-T cell therapy is a novel treatment for hematologic malignancies, but poses a risk of HBV reactivation in patients with resolved infections. Close monitoring of HBV DNA levels is necessary, particularly in HBsAb-negative individuals who may benefit from antiviral prophylaxis.

FRONTIERS IN IMMUNOLOGY (2021)

Article Immunology

Efficacy of Humanized Anti-BCMA CAR T Cell Therapy in Relapsed/Refractory Multiple Myeloma Patients With and Without Extramedullary Disease

Haobin Deng et al.

Summary: This study observed the efficacy and safety of humanized anti-BCMA chimeric antigen receptor (CAR) T cell therapy in relapsed/refractory multiple myeloma patients with and without extramedullary disease. It was found that patients with extramedullary disease benefited in the short term from the therapy, although they experienced higher grades of cytokine release syndrome and immune effector cell-associated neurotoxic syndrome.

FRONTIERS IN IMMUNOLOGY (2021)

Article Hematology

CAR T-cell therapy for multiple myeloma: state of the art and prospects

Niels W C J van de Donk et al.

Lancet Haematology (2021)

Article Oncology

Thrombopoietin receptor agonists for acquired thrombocytopenia following anti-CD19 CAR-T-cell therapy: a case report

Rebecca Baur et al.

Summary: CAR-T cell therapy shows promise in treating relapsed or refractory lymphoma and leukemia, but can lead to hematotoxicity, including anemia and thrombocytopenia, which may increase the risk of infection or bleeding. Additional supportive measures such as Romiplostim may be used to manage these toxicities, but further clinical studies are needed to confirm the efficacy of this approach.

JOURNAL FOR IMMUNOTHERAPY OF CANCER (2021)

Article Oncology

IL-15 Enhances the Persistence and Function of BCMA-Targeting CAR-T Cells Compared to IL-2 or IL-15/IL-7 by Limiting CAR-T Cell Dysfunction and Differentiation

Anthony M. Battram et al.

Summary: This study found that CAR-T cells expanded with IL-15 had reduced dysfunction and enhanced persistence compared to those grown with IL-2 or a combination of IL-15 and IL-7, resulting in longer and improved anti-tumor responses in a mouse model. Therefore, the use of IL-15 instead of IL-2 or IL-15/IL-7 should be considered in designing CAR-T cell production protocols to improve patient response duration.

CANCERS (2021)

Article Hematology

Incidence and risk factors associated with bleeding and thrombosis following chimeric antigen receptor T-cell therapy

Andrew Johnsrud et al.

Summary: Bleeding and thrombotic events are emerging toxicities associated with CAR therapies, with incidences of 9.4% and 6.3% respectively in this study. The severity of ICANS is significantly associated with the occurrence of bleeding and thrombosis, and low platelet count is a risk factor for bleeding.

BLOOD ADVANCES (2021)

Article Oncology

Evaluation of switch-mediated costimulation in trans on universal CAR-T cells (UniCAR) targeting CD123-positive AML

Jan-Erik Meyer et al.

Summary: Targeting CD123 with CAR-T therapy shows promise in treating AML, but the risk of toxicity from non-specific cell targeting remains a concern. A new UniCAR platform with a switchable adapter system, including a CD123-specific TM variant for transient costimulation, has shown improved safety and efficacy in preclinical models. This approach may provide a flexible and individualized treatment option for AML patients.

ONCOIMMUNOLOGY (2021)

Review Hematology

The role of idecabtagene vicleucel in patients with heavily pretreated refractory multiple myeloma

Albert Oriol et al.

Summary: The development of multiple treatment options has improved patient survival in multiple myeloma, but drug resistance remains a challenge for high-risk patients, necessitating the development of new agents with different mechanisms of action.

THERAPEUTIC ADVANCES IN HEMATOLOGY (2021)

Article Immunology

Optimized gene engineering of murine CAR-T cells reveals the beneficial effects of IL-15 coexpression

Evripidis Lanitis et al.

Summary: Limited clinical benefit has been shown for CAR therapy in solid tumors, but fourth-generation CAR-T cells coengineered with mIL-15 are being developed to enhance responses. Technical challenges have limited preclinical studies using immunocompetent mice, but optimized methods for efficient transduction and expansion of T lymphocytes in murine models have been described. The bicistronic retroviral vector encoding a tumor vasculature-targeted CAR and mIL-15 shows enhanced effector functions and potential for TME reprogramming, with upregulation of antiapoptotic markers and downregulation of inhibitory receptors.

JOURNAL OF EXPERIMENTAL MEDICINE (2021)

Review Hematology

B-cell maturation antigen (BCMA) in multiple myeloma: the new frontier of targeted therapies

Larysa Sanchez et al.

Summary: This review summarizes the latest efficacy and safety data from clinical studies of BCMA-targeted therapies, with a focus on ADCs and BITEs for patients with relapsed/refractory multiple myeloma. The differences among BCMA-targeted treatment modalities and their clinical implications are discussed.

THERAPEUTIC ADVANCES IN HEMATOLOGY (2021)

Article Cell & Tissue Engineering

Treatment of Aggressive T Cell Lymphoblastic Lymphoma/leukemia Using Anti-CD5 CAR T Cells

Jia Feng et al.

Summary: In this study, the modification of CD5 CAR to secrete an IL-15/IL-15sushi complex successfully targeted CNS-invading T-LBL, leading to the rapid ablation of lymphoblasts and remission of lymphoma in the patient. Despite the presence of CD5 on normal T cells, the treatment only caused brief, transient T-cell aplasia. These results suggest that CD5-IL15/IL15sushi CAR T cells may offer a safe and effective treatment option for T-cell malignancies, particularly for those with CNS involvement.

STEM CELL REVIEWS AND REPORTS (2021)

Review Oncology

The nuclear export protein XPO1-from biology to targeted therapy

Asfar S. Azmi et al.

Summary: XPO1 plays a crucial role in cellular homeostasis and cancer development, with its inhibitor selinexor clinically validated and approved for multiple myeloma and diffuse large B cell lymphoma treatment.

NATURE REVIEWS CLINICAL ONCOLOGY (2021)

Article Medicine, General & Internal

Use of CAR-Transduced Natural Killer Cells in CD19-Positive Lymphoid Tumors

Enli Liu et al.

NEW ENGLAND JOURNAL OF MEDICINE (2020)

Article Multidisciplinary Sciences

CD229 CAR T cells eliminate multiple myeloma and tumor propagating cells without fratricide

Sabarinath V. Radhakrishnan et al.

NATURE COMMUNICATIONS (2020)

Review Oncology

A Bump in the Road: How the Hostile AML Microenvironment Affects CAR T Cell Therapy

Rebecca Epperly et al.

FRONTIERS IN ONCOLOGY (2020)

Article Biotechnology & Applied Microbiology

Immunostimulatory oncolytic virotherapy for multiple myeloma targeting 4-1BB and/or CD40

Jessica Wenthe et al.

CANCER GENE THERAPY (2020)

Article Oncology

Bridging Radiation Therapy Before Commercial Chimeric Antigen Receptor T-Cell Therapy for Relapsed or Refractory Aggressive B-Cell Lymphoma

Christopher M. Wright et al.

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS (2020)

Article Biotechnology & Applied Microbiology

In Vivo Generation of CAR T Cells Selectively in Human CD4+ Lymphocytes

Shiwani Agarwal et al.

MOLECULAR THERAPY (2020)

Article Oncology

Rapidly Switchable Universal CAR-T Cells for Treatment of CD123-Positive Leukemia

Simon Loff et al.

MOLECULAR THERAPY-ONCOLYTICS (2020)

Article Medicine, General & Internal

KTE-X19 CAR T-Cell Therapy in Relapsed or Refractory Mantle-Cell Lymphoma

Michael Wang et al.

NEW ENGLAND JOURNAL OF MEDICINE (2020)

Article Immunology

Gamma-Delta CAR-T Cells Show CAR-Directed and Independent Activity Against Leukemia

Meir Rozenbaum et al.

FRONTIERS IN IMMUNOLOGY (2020)

Article Oncology

41BB-based and CD28-based CD123-redirected T-cells ablate human normal hematopoiesis in vivo

Matteo Libero Baroni et al.

JOURNAL FOR IMMUNOTHERAPY OF CANCER (2020)

Article Oncology

SARS-CoV-2 infection in immunocompromised patients: humoral versus cell-mediated immunity

Jia Wei et al.

JOURNAL FOR IMMUNOTHERAPY OF CANCER (2020)

Article Oncology

Anti-CD30 CAR-T Cell Therapy in Relapsed and Refractory Hodgkin Lymphoma

Carlos A. Ramos et al.

JOURNAL OF CLINICAL ONCOLOGY (2020)

Review Oncology

Macrophage, the potential key mediator in CAR-T related CRS

Zhaonian Hao et al.

EXPERIMENTAL HEMATOLOGY & ONCOLOGY (2020)

Review Immunology

Cytokines in CAR T Cell-Associated Neurotoxicity

Juliane Gust et al.

FRONTIERS IN IMMUNOLOGY (2020)

Article Biotechnology & Applied Microbiology

Sustained Remission of Relapsed or Refractory Mantle Cell Lymphoma After 4-1BB-Based CD19-Directed CAR-T Therapy

Chunmei Yang et al.

ONCOTARGETS AND THERAPY (2020)

Article Biochemistry & Molecular Biology

The model of cytokine release syndrome in CAR T-cell treatment for B-cell non-Hodgkin lymphoma

Jianshu Wei et al.

SIGNAL TRANSDUCTION AND TARGETED THERAPY (2020)

Article Cell & Tissue Engineering

Characterization of an Anti-CD5 Directed CAR T-Cell against T-Cell Malignancies

Masayuki Wada et al.

STEM CELL REVIEWS AND REPORTS (2020)

Review Immunology

DAMP-sensing receptors in sterile inflammation and inflammatory diseases

Tao Gong et al.

NATURE REVIEWS IMMUNOLOGY (2020)

Review Immunology

The gasdermins, a protein family executing cell death and inflammation

Petr Broz et al.

NATURE REVIEWS IMMUNOLOGY (2020)

Article Biophysics

Early and late hematologic toxicity following CD19 CAR-T cells

Shalev Fried et al.

BONE MARROW TRANSPLANTATION (2019)

Review Biochemistry & Molecular Biology

Understanding Immune Evasion and Therapeutic Targeting Associated with PD-1/PD-L1 Pathway in Diffuse Large B-cell Lymphoma

Moo-Kon Song et al.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2019)

Article Multidisciplinary Sciences

CAR T cell trogocytosis and cooperative killing regulate tumour antigen escape

Mohamad Hamieh et al.

NATURE (2019)

Article Cell Biology

GPRC5D is a target for the immunotherapy of multiple myeloma with rationally designed CAR T cells

Eric L. Smith et al.

SCIENCE TRANSLATIONAL MEDICINE (2019)

Article Hematology

Improving the safety of CAR-T cell therapy by controlling CRS-related coagulopathy

Huiwen Jiang et al.

ANNALS OF HEMATOLOGY (2019)

Review Cell Biology

Chimeric antigen receptor T cell persistence and memory cell formation

Alexander D. McLellan et al.

IMMUNOLOGY AND CELL BIOLOGY (2019)

Article Medicine, General & Internal

Anti-BCMA CAR T-Cell Therapy bb2121 in Relapsed or Refractory Multiple Myeloma

Noopur Raje et al.

NEW ENGLAND JOURNAL OF MEDICINE (2019)

Article Multidisciplinary Sciences

leExploratory trial of a biepitopic CAR T-targeting B cell maturation antigen in relapsed/refractory multiple myeloma

Jie Xu et al.

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2019)

Article Oncology

Radiation Therapy as a Bridging Strategy for CAR T Cell Therapy With Axicabtagene Ciloleucel in Diffuse Large B-Cell Lymphoma

Austin J. Sim et al.

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS (2019)

Article Biotechnology & Applied Microbiology

Decitabine enhances cytotoxic effect of T cells with an anti-CD19 chimeric antigen receptor in treatment of lymphoma

Sujun Li et al.

ONCOTARGETS AND THERAPY (2019)

Article Pharmacology & Pharmacy

Selinexor: First Global Approval

Yahiya Y. Syed

Review Medicine, General & Internal

Anemia of Inflammation

Tomas Ganz

NEW ENGLAND JOURNAL OF MEDICINE (2019)

Article Medicine, General & Internal

Tisagenlecleucel in Adult Relapsed or Refractory Diffuse Large B-Cell Lymphoma

Stephen J. Schuster et al.

NEW ENGLAND JOURNAL OF MEDICINE (2019)

Review Immunology

Selecting costimulatory domains for chimeric antigen receptors: functional and clinical considerations

Robert Weinkove et al.

CLINICAL & TRANSLATIONAL IMMUNOLOGY (2019)

Review Immunology

CD4 Helper and CD8 Cytotoxic T Cell Differentiation

Ichiro Taniuchi

ANNUAL REVIEW OF IMMUNOLOGY, VOL 36 (2018)

Article Oncology

CAR-T cells targeting CLL-1 as an approach to treat acute myeloid leukemia

Jinghua Wang et al.

JOURNAL OF HEMATOLOGY & ONCOLOGY (2018)

Article Biochemistry & Molecular Biology

CAR T cell-induced cytokine release syndrome is mediated by macrophages and abated by IL-1 blockade

Theodoros Giavridis et al.

NATURE MEDICINE (2018)

Article Medicine, General & Internal

Tisagenlecleucel in Children and Young Adults with B-Cell Lymphoblastic Leukemia

S. L. Maude et al.

NEW ENGLAND JOURNAL OF MEDICINE (2018)

Article Oncology

Chimeric Antigen Receptor T Cell-Mediated Neurotoxicity in Nonhuman Primates

Agne Taraseviciute et al.

CANCER DISCOVERY (2018)

Review Immunology

Human γδ T-Cells: From Surface Receptors to the Therapy of High-Risk Leukemias

Vito Pistoia et al.

FRONTIERS IN IMMUNOLOGY (2018)

Article Medicine, Research & Experimental

In vivo generation of human CD19-CAR T cells results in B-cell depletion and signs of cytokine release syndrome

Anett Pfeiffer et al.

EMBO MOLECULAR MEDICINE (2018)

Article Biotechnology & Applied Microbiology

A Novel Anti-LILRB4 CAR-T Cell for the Treatment of Monocytic AML

Samuel John et al.

MOLECULAR THERAPY (2018)

Article Biotechnology & Applied Microbiology

Low-Dose Radiation Conditioning Enables CAR T Cells to Mitigate Antigen Escape

Carl DeSelm et al.

MOLECULAR THERAPY (2018)

Article Biotechnology & Applied Microbiology

In Vivo Fate and Activity of Second- versus Third-Generation CD19-Specific CAR-T Cells in B Cell Non-Hodgkin's Lymphomas

Carlos A. Ramos et al.

MOLECULAR THERAPY (2018)

Article Biotechnology & Applied Microbiology

Targeted delivery of a PD-1-blocking scFv by CAR-T cells enhances anti-tumor efficacy in vivo

Sarwish Rafiq et al.

NATURE BIOTECHNOLOGY (2018)

Article Biochemistry & Molecular Biology

Genetic mechanisms of target antigen loss in CAR19 therapy of acute lymphoblastic leukemia

Elena J. Orlando et al.

NATURE MEDICINE (2018)

Article Clinical Neurology

Neurotoxicity Associated with CD19-Targeted CAR-T Cell Therapies

Juliane Gust et al.

CNS DRUGS (2018)

Article Medicine, Research & Experimental

4-1BB enhancement of CAR T function requires NF-κB and TRAFs

Gongbo Li et al.

JCI INSIGHT (2018)

Article Medicine, Research & Experimental

Clinical and immunological responses after CD30-specific chimeric antigen receptor-redirected lymphocytes

Carlos A. Ramos et al.

JOURNAL OF CLINICAL INVESTIGATION (2017)

Article Biotechnology & Applied Microbiology

Inducible Caspase-9 Selectively Modulates the Toxicities of CD19-Specific Chimeric Antigen Receptor-Modified T Cells

Iulia Diaconu et al.

MOLECULAR THERAPY (2017)

Article Biochemistry & Molecular Biology

Targeting the T cell receptor β-chain constant region for immunotherapy of T cell malignancies

Paul M. Maciocia et al.

NATURE MEDICINE (2017)

Article Medicine, General & Internal

Axicabtagene Ciloleucel CAR T-Cell Therapy in Refractory Large B-Cell Lymphoma

S. S. Neelapu et al.

NEW ENGLAND JOURNAL OF MEDICINE (2017)

Editorial Material Oncology

CNS Endothelial Cell Activation Emerges as a Driver of CAR T Cell-Associated Neurotoxicity

Crystal L. Mackall et al.

CANCER DISCOVERY (2017)

Review Medicine, Research & Experimental

Clinical development of CAR T cells-challenges and opportunities in translating innovative treatment concepts

Jessica Hartmann et al.

EMBO MOLECULAR MEDICINE (2017)

Article Cell & Tissue Engineering

Monocyte lineage-derived IL-6 does not affect chimeric antigen receptor T-cell function

Nathan Singh et al.

CYTOTHERAPY (2017)

Meeting Abstract Hematology

Identification of PD1 and TIM3 As Checkpoints That Limit Chimeric Antigen Receptor T Cell Efficacy in Leukemia

Saad S. Kenderian et al.

BIOLOGY OF BLOOD AND MARROW TRANSPLANTATION (2016)

Review Immunology

Monoclonal antibodies targeting CD38 in hematological malignancies and beyond

Niels W. C. J. van de Donk et al.

IMMUNOLOGICAL REVIEWS (2016)

Article Medicine, Research & Experimental

Targeted antibody-mediated depletion of murine CD19 CAR T cells permanently reverses B cell aplasia

Paulina J. Paszkiewicz et al.

JOURNAL OF CLINICAL INVESTIGATION (2016)

Article Medicine, Research & Experimental

CD19 CAR-T cells of defined CD4+: CD8+ composition in adult B cell ALL patients

Cameron J. Turtle et al.

JOURNAL OF CLINICAL INVESTIGATION (2016)

Review Cell Biology

Pivotal Roles of GM-CSF in Autoimmunity and Inflammation

Aoi Shiomi et al.

MEDIATORS OF INFLAMMATION (2015)

Article Biotechnology & Applied Microbiology

Enhancing Antitumor Efficacy of Chimeric Antigen Receptor T Cells Through Constitutive CD40L Expression

Kevin J. Curran et al.

MOLECULAR THERAPY (2015)

Article Biochemistry & Molecular Biology

4-1BB costimulation ameliorates T cell exhaustion induced by tonic signaling of chimeric antigen receptors

Adrienne H. Long et al.

NATURE MEDICINE (2015)

Article Multidisciplinary Sciences

Remote control of therapeutic T cells through a small molecule-gated chimeric receptor

Chia-Yung Wu et al.

SCIENCE (2015)

Review Immunology

T cell anergy, exhaustion, senescence, and stemness in the tumor microenvironment

Joel Crespo et al.

CURRENT OPINION IN IMMUNOLOGY (2013)

Editorial Material Oncology

Rewiring cancer cell death to enhance oncolytic viro-immunotherapy

Samuel T. Workenhe et al.

ONCOIMMUNOLOGY (2013)

Editorial Material Oncology

Blockade of PD-1 immunosuppression boosts CAR T-cell therapy

Liza B. John et al.

ONCOIMMUNOLOGY (2013)

Article Hematology

Surface molecule CD229 as a novel target for the diagnosis and treatment of multiple myeloma

Djordje Atanackovic et al.

HAEMATOLOGICA-THE HEMATOLOGY JOURNAL (2011)

Article Cell Biology

The CD40/CD40 ligand interactions exert pleiotropic effects on bone marrow granulopoiesis

Irene Mavroudi et al.

JOURNAL OF LEUKOCYTE BIOLOGY (2011)

Article Cardiac & Cardiovascular Systems

Upregulation of tissue factor in monocytes by cleaved high molecular weight kininogen is dependent on TNF-α and IL-1β

Mohammad M. Khan et al.

AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY (2010)

Review Immunology

Molecular mechanism and function of CD40/CD40L engagement in the immune system

Raul Elgueta et al.

IMMUNOLOGICAL REVIEWS (2009)

Letter Hematology

Inflammatory cytokines inhibit ADAMTS13 synthesis in hepatic stellate cells and endothelial cells

W. J. Cao et al.

JOURNAL OF THROMBOSIS AND HAEMOSTASIS (2008)

Article Hematology

Myeloid precursors and acute myeloid leukemia cells express multiple CD33-related Siglecs

Dzung H. Nguyen et al.

EXPERIMENTAL HEMATOLOGY (2006)

Article Multidisciplinary Sciences

CD40 stimulation leads to effective therapy of CD40-tumors through induction of strong systemic cytotoxic T lymphocyte immunity

GJD van Mierlo et al.

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2002)