The latest trends in improving CAR-T cell therapy: from leukemia to solid malignant tumors
https://doi.org/10.21682/2311-1267-2021-8-2-84-95
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.
About the Authors
A. V. ErshovRussian Federation
Dr. of Sci. (Med.), Professor at the Department of Pathophysiology I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Senior Researcher V.A. Negovsky Research Institute of General Reanimatology at Federal Scientific and Clinical Center of Reanimatology and Rehabilitation, Ministry of Science and Higher Education of the Russian Federation.
8-2 Trubetskaya St., Moscow, 119991; 25, Build. 2, Petrovka St., Moscow, 107031.
SPIN-code: 2059-3248
G. V. Demyanov
Russian Federation
4th year student I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia.
8-2 Trubetskaya St., Moscow, 119991.
D. A. Nasrullaeva
Russian Federation
4th year student I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia.
8-2 Trubetskaya St., Moscow, 119991.
E. R. Radkevich
Russian Federation
4th year student I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia.
8-2 Trubetskaya St., Moscow, 119991.
V. T. Dolgikh
Russian Federation
Dr. of Sci. (Med.), Chief Researcher Laboratory of Clinical Pathophysiology of Critical States V.A. Negovsky Research Institute of General Reanimatology at Federal Scientific and Clinical Center of Reanimatology and Rehabilitation, Ministry of Science and Higher Education of the Russian Federation.
25, Build. 2, Petrovka St., Moscow, 107031.
SPIN-code: 2052-1445
N. V. Sidorova
Russian Federation
Head of the Department of Pediatric Bone Marrow and Hematopoietic Stem Cell Transplantation of N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia.
23 Kashirskoe Shosse, Moscow, 115478.
SPIN-code: 7729-5713
T. T. Valiev
Russian Federation
Dr. of Sci. (Med.), Head of the Children's Department of Hemoblastosis Chemotherapy of the Department of Hematology and Bone Marrow Transplantation of N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia.
23 Kashirskoe Shosse, Moscow, 115478.
SPIN-code: 9802-8610
M. M. Efimova
Russian Federation
Pediatric Oncologist Research Institute of Pediatric Oncology and Hematology of N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia.
23 Kashirskoe Shosse, Moscow, 115478.
E. B. Machneva
Russian Federation
Cand. of Sci. (Med.), Hematologist Department of Pediatric Bone Marrow and Hematopoietic Stem Cell Transplantation of the Research Institute of Pediatric Oncology and Hematology of N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia, Hematologist Department of Bone Marrow Transplantation at the Russian Children's Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia.
23 Kashirskoe Shosse, Moscow, 115478; 117 Leninskiy Prosp., Moscow, 119571.
SPIN-code: 6143-8644
K. I. Kirgizov
Russian Federation
Cand. of Sci. (Med.), Deputy Director for Scientific and Educational Work of Research Institute of Pediatric Oncology and Hematology at the N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia.
23 Kashirskoe Shosse, Moscow, 115478.
SPIN-code: 3803-6370
M. V. Kiselevsky
Russian Federation
Dr. of Sci. (Med.), Professor, Head of the Laboratory of Cellular Immunity of N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia.
23 Kashirskoe Shosse, Moscow, 115478.
SPIN-code: 8687-2387
Z. Sh. Manasova
Russian Federation
Cand. of Sci. (Med.), Associate Professor of the Department of Pathophysiology at I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia.
8-2 Trubetskaya St., Moscow, 119991.
SPIN-code: 2251-6634
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Review
For citations:
Ershov A.V., Demyanov G.V., Nasrullaeva D.A., Radkevich E.R., Dolgikh V.T., Sidorova N.V., Valiev T.T., Efimova M.M., Machneva E.B., Kirgizov K.I., Kiselevsky M.V., Manasova Z.Sh. The latest trends in improving CAR-T cell therapy: from leukemia to solid malignant tumors. Russian Journal of Pediatric Hematology and Oncology. 2021;8(2):84-95. (In Russ.) https://doi.org/10.21682/2311-1267-2021-8-2-84-95