CAR-T CELL THERAPY FOR T-CELL MALIGNANCIES

Chimeric antigen receptor T-cell (CAR-T) therapy has revolutionized the treatment of B-cell lymphoid neoplasia and, in some instances, improved disease outcomes. Thus, six FDA-approved commercial CAR-T cell products that target antigens preferentially expressed on malignant B-cells or plasma cells...

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Main Authors: Ugo Testa, Patrizia Chiusolo, Elvira Pelosi, Germana Castelli, Giuseppe Leone
Format: Article
Language:English
Published: PAGEPress Publications 2024-02-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
Subjects:
Online Access:https://www.mjhid.org/mjhid/article/view/5633
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author Ugo Testa
Patrizia Chiusolo
Elvira Pelosi
Germana Castelli
Giuseppe Leone
author_facet Ugo Testa
Patrizia Chiusolo
Elvira Pelosi
Germana Castelli
Giuseppe Leone
author_sort Ugo Testa
collection DOAJ
description Chimeric antigen receptor T-cell (CAR-T) therapy has revolutionized the treatment of B-cell lymphoid neoplasia and, in some instances, improved disease outcomes. Thus, six FDA-approved commercial CAR-T cell products that target antigens preferentially expressed on malignant B-cells or plasma cells have been introduced in the therapy of B-cell lymphomas, B-ALLs and multiple myeloma. These therapeutic successes have triggered the application of CAR-T cell therapy to other hematologic tumors, including T-cell malignancies. However, the success of CAR-T cell therapies in T-cell neoplasms was considerably more limited to the existence of some limiting factors, such as the sharing of mutual antigens between normal T-cells and CAR-T cells, and malignant cells, determining fratricide events and severe T-cell aplasia; contamination of CAR-T cells used for CAR transduction with contaminating malignant T-cells. Allogeneic CAR-T products can avoid tumor contamination but raise other problems related to immunological incompatibility. In spite of these limitations, there has been significant progress in CD7- and CD5-targeted CAR-T cell therapy of T-cell malignancies in the last few years.
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institution Kabale University
issn 2035-3006
language English
publishDate 2024-02-01
publisher PAGEPress Publications
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series Mediterranean Journal of Hematology and Infectious Diseases
spelling doaj-art-b35f4cf3d27344039cf165fcbbd926922025-02-03T00:08:23ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062024-02-0116110.4084/MJHID.2024.031CAR-T CELL THERAPY FOR T-CELL MALIGNANCIESUgo Testa0Patrizia Chiusolo1Elvira Pelosi2Germana Castelli3Giuseppe Leone4ISSUniversità Cattolica Sacro Cuore/Policlinico Gemelli. Roma, ItalyIstituto Superiore Sanità, Roma.Istituto Superiore Sanità, Roma.Università Cattolica del Sacro Cuore, Facoltà di Medicina, Roma Italy Chimeric antigen receptor T-cell (CAR-T) therapy has revolutionized the treatment of B-cell lymphoid neoplasia and, in some instances, improved disease outcomes. Thus, six FDA-approved commercial CAR-T cell products that target antigens preferentially expressed on malignant B-cells or plasma cells have been introduced in the therapy of B-cell lymphomas, B-ALLs and multiple myeloma. These therapeutic successes have triggered the application of CAR-T cell therapy to other hematologic tumors, including T-cell malignancies. However, the success of CAR-T cell therapies in T-cell neoplasms was considerably more limited to the existence of some limiting factors, such as the sharing of mutual antigens between normal T-cells and CAR-T cells, and malignant cells, determining fratricide events and severe T-cell aplasia; contamination of CAR-T cells used for CAR transduction with contaminating malignant T-cells. Allogeneic CAR-T products can avoid tumor contamination but raise other problems related to immunological incompatibility. In spite of these limitations, there has been significant progress in CD7- and CD5-targeted CAR-T cell therapy of T-cell malignancies in the last few years. https://www.mjhid.org/mjhid/article/view/5633adults T cell acute lymphoblastic leukemiaCAR-T CellsT-cell lymphoblastic lymphoma
spellingShingle Ugo Testa
Patrizia Chiusolo
Elvira Pelosi
Germana Castelli
Giuseppe Leone
CAR-T CELL THERAPY FOR T-CELL MALIGNANCIES
Mediterranean Journal of Hematology and Infectious Diseases
adults T cell acute lymphoblastic leukemia
CAR-T Cells
T-cell lymphoblastic lymphoma
title CAR-T CELL THERAPY FOR T-CELL MALIGNANCIES
title_full CAR-T CELL THERAPY FOR T-CELL MALIGNANCIES
title_fullStr CAR-T CELL THERAPY FOR T-CELL MALIGNANCIES
title_full_unstemmed CAR-T CELL THERAPY FOR T-CELL MALIGNANCIES
title_short CAR-T CELL THERAPY FOR T-CELL MALIGNANCIES
title_sort car t cell therapy for t cell malignancies
topic adults T cell acute lymphoblastic leukemia
CAR-T Cells
T-cell lymphoblastic lymphoma
url https://www.mjhid.org/mjhid/article/view/5633
work_keys_str_mv AT ugotesta cartcelltherapyfortcellmalignancies
AT patriziachiusolo cartcelltherapyfortcellmalignancies
AT elvirapelosi cartcelltherapyfortcellmalignancies
AT germanacastelli cartcelltherapyfortcellmalignancies
AT giuseppeleone cartcelltherapyfortcellmalignancies