Development and application of CD19-specific T cells for adoptive immunotherapy of B cell malignancies

被引:44
作者
Cooper, LJN
Al-Kadhimi, Z
DiGiusto, D
Kalos , M
Colcher, D
Raubitschek, A
Forman, SJ
Jensen, MC
机构
[1] City Hope Natl Med Ctr, Beckman Res Inst, Div Mol Med, Duarte, CA 91010 USA
[2] City Hope Natl Med Ctr, Beckman Res Inst, Div Pediat Hematol Oncol, Duarte, CA 91010 USA
[3] City Hope Natl Med Ctr, Beckman Res Inst, Div Hematol & Hematopoiet Cell Transplantat Tran, Duarte, CA 91010 USA
[4] City Hope Natl Med Ctr, Beckman Res Inst, Dept Radioimmunotherapy, Duarte, CA 91010 USA
关键词
T cell; leukemia; toxicity;
D O I
10.1016/j.bcmd.2004.03.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The graft-versus-leukemia (GVL)-effect achieved by donor-derived T cells arising from transplanted allogeneic hematopoietic stern cells or given as donor-leukocyte infusions (DLI) after allogeneic transplant, demonstrates that donor-derived T cells can eradicate B-lineage malignancies. However, graft-versus-host-disease (GVHD) occurring after allogeneic hematopoietic stem-cell transplant (HSCT) or polyclonal DLI can limit the efficacy of these interventions. This toxicity can be avoided by using autologous T cells and/or tumor-specific cytotoxic T lymphocytes (CTLs). To generate antigen-specific T cells that can be derived from the allogeneic donor or the patient, we have genetically manipulated T cells to express a CD19-specific chimeric immunoreceptor. This renders T cells specific for CD 19, a cell surface molecule found on B-lineage leukemia and lymphoma. This review will demonstrate the redirected specificity of CD19-specific T cells and implementation of clinical trials using these cellular agents. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:83 / 89
页数:7
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