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Chimeric Antigen Receptor T-Cell Therapy in Acute Myeloid Leukemia: State of the Art and Recent Advances

Overview
Journal Cancers (Basel)
Publisher MDPI
Specialty Oncology
Date 2024 Jan 11
PMID 38201469
Authors
Affiliations
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Abstract

Chimeric antigen receptors (CAR)-T-cell therapy represents the most important innovation in onco-hematology in recent years. The progress achieved in the management of complications and the latest generations of CAR-T-cells have made it possible to anticipate in second-line the indication of this type of treatment in large B-cell lymphoma. While some types of B-cell lymphomas and B-cell acute lymphoid leukemia have shown extremely promising results, the same cannot be said for myeloid leukemias-in particular, acute myeloid leukemia (AML), which would require innovative therapies more than any other blood disease. The heterogeneities of AML cells and the immunological complexity of the interactions between the bone marrow microenvironment and leukemia cells have been found to be major obstacles to the clinical development of CAR-T in AML. In this review, we report on the main results obtained in AML clinical trials, the preclinical studies testing potential CAR-T constructs, and future perspectives.

Citing Articles

Advances in research on factors affecting chimeric antigen receptor T-cell efficacy.

Zhou D, Zhu X, Xiao Y Cancer Med. 2024; 13(11):e7375.

PMID: 38864474 PMC: 11167615. DOI: 10.1002/cam4.7375.

References
1.
Wu G, Guo S, Luo Q, Wang X, Deng W, Ouyang G . Preclinical evaluation of CD70-specific CAR T cells targeting acute myeloid leukemia. Front Immunol. 2023; 14:1093750. PMC: 9950117. DOI: 10.3389/fimmu.2023.1093750. View

2.
Baumeister S, Murad J, Werner L, Daley H, Trebeden-Negre H, Gicobi J . Phase I Trial of Autologous CAR T Cells Targeting NKG2D Ligands in Patients with AML/MDS and Multiple Myeloma. Cancer Immunol Res. 2018; 7(1):100-112. PMC: 7814996. DOI: 10.1158/2326-6066.CIR-18-0307. View

3.
Richards R, Zhao F, Freitas K, Parker K, Xu P, Fan A . NOT-Gated CD93 CAR T Cells Effectively Target AML with Minimized Endothelial Cross-Reactivity. Blood Cancer Discov. 2021; 2(6):648-665. PMC: 8580619. DOI: 10.1158/2643-3230.BCD-20-0208. View

4.
Maude S, Laetsch T, Buechner J, Rives S, Boyer M, Bittencourt H . Tisagenlecleucel in Children and Young Adults with B-Cell Lymphoblastic Leukemia. N Engl J Med. 2018; 378(5):439-448. PMC: 5996391. DOI: 10.1056/NEJMoa1709866. View

5.
Alabanza L, Pegues M, Geldres C, Shi V, Wiltzius J, Sievers S . Function of Novel Anti-CD19 Chimeric Antigen Receptors with Human Variable Regions Is Affected by Hinge and Transmembrane Domains. Mol Ther. 2017; 25(11):2452-2465. PMC: 5675490. DOI: 10.1016/j.ymthe.2017.07.013. View