Chimeric antigen receptor-modified T cells for the immunotherapy of patients with EGFR-expressing ad

来源 :Science China(Life Sciences) | 被引量 : 0次 | 上传用户:syris
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
The successes achieved by chimeric antigen receptor-modified T(CAR-T) cells in hematological malignancies raised the possibility of their use in non-small lung cancer(NSCLC). In this phase I clinical study(NCT01869166), patients with epidermal growth factor receptor(EGFR)-positive(>50% expression), relapsed/refractory NSCLC received escalating doses of EGFR-targeted CAR-T cell infusions. The EGFR-targeted CAR-T cells were generated from peripheral blood after a 10 to 13-day in vitro expansion. Serum cytokines in peripheral blood and copy numbers of CAR-EGFR transgene in peripheral blood and in tissue biopsy were monitored periodically. Clinical responses were evaluated with RECIST1.1 and immune-related response criteria, and adverse events were graded with CTCAE 4.0. The EGFR-targeted CAR-T cell infusions were well-tolerated without severe toxicity. Of 11 evaluable patients, two patients obtained partial response and five had stable disease for two to eight months. The median dose of transfused CAR+ T cells was 0.97×10~7 cells kg~(-1)(interquartile range(IQR), 0.45 to 1.09×10~7 cells kg~(-1)). Pathological eradication of EGFR positive tumor cells after EGFR-targeted CAR-T cell treatment can be observed in tumor biopsies, along with the CAR-EGFR gene detected in tumor-infiltrating T cells in all four biopsied patients. The EGFR-targeted CAR-T cell therapy is safe and feasible for EGFR-positive advanced relapsed/refractory NSCLC. The successes achieved by chimeric antigen receptor-modified T(CAR-T) cells in hematological malignancies raised the possibility of their use in non-small lung cancer (NSCLC). In this phase I clinical study(NCT01869166), patients with epidermal growth factor The EGFR-targeted CAR-T cells were generated from peripheral blood after a 10 to 13-day. In vitro expansion. Serum cytokines in peripheral blood and copy numbers of CAR-EGFR transgene in peripheral blood and in tissue biopsy were monitored warning. Clinical responses were evaluated with RECIST1.1 and immune-related response criteria, and adverse events were graded with CTCAE 4.0. The EGFR-targeted CAR-T cell infusions were well-tolerated without severe toxicity. Of 11 evaluable patients,two patients obtained partial response and five had stable disease for two to eight months. The median dose of t Ransfused CAR+ T cells were 0.97×10~7 cells kg~(-1)(interquartile range(IQR), 0.45 to 1.09×10~7 cells kg~(-1)). Pathological eradication of EGFR positive tumor cells after EGFR- Targeted CAR-T cell treatment can be viewed in tumor biopsies, along with the CAR-EGFR gene detected in tumor-infiltrating T cells in all four biopsied patients. The EGFR-targeted CAR-T cell therapy is safe and feasible for EGFR-positive Advanced relapsed/refractory NSCLC.
其他文献
豆浆那里有豆浆。那里当然没有果子酱, 不会有乳酪。那里,有豆浆, 便会有中国的沙糖和油条, 一把沙糖放进去,让它溶化,于是,沾着油条,吃下去; 那里,人们吃下去的是具有东方
离子烫、麦穗烫、编织烫的流行势头渐渐平息,2002年初冬悄然兴起了“陶瓷烫”。知道陶瓷烫的感觉吗?就是让你的头发像舞蹈般旋转,又如朵朵绽放的花,让人变得如童话中的公主
原料:鲜嫩茄子、猪肥瘦肉、鸡蛋糊、葱花、泡辣椒、姜末、蒜末、精盐、料酒、酱油、白糖、醋、味精、湿淀粉、熟菜油各适量。制作:将茄子去皮,切成两刀一断(两刀间不切断)的
粮食是同人民生活和国家建设关系最密切的一种物资。应该节约粮食,不应该浪费粮食,这是天经地义的事;随着整个国家经济建设的进展,人民生活水平的不断提高,对于粮食的需要不
1978年,美国政府对航空运输业实施放松管制政策之后,不再管制航空公司国内航线的进入退出、运价和服务标准,但对航空运输业并没有放任自流。为了维护竞争秩序,促进民航业发展
名贵书画的收藏保管是一门学问。要使书画保存久远,除了在书画装裱工艺中用一些药物以外,在书画收藏中,也可使用药物,起到防潮,防霉、防蛀的作用。1.收藏书画的匣、橱之内需
传说南宋高宗时,奸臣秦桧假传圣旨,连下十二道金牌,强迫岳飞班师,栽个莫须有的罪名,使其冤死狱中。老百姓痛恨秦桧陷害忠良,恨不能食其肉,噬其骨, Legend of the Southern
皮肤是人体健康状况的一面镜子,是人体美的一个重要表征。怎样才能使自己的皮肤健美呢?首先要注意营养,多吃新鲜蔬菜和水果,是保持皮肤健美的一种有效方法,这是因为,肉食和
加拿大生物技术产业发展迅速,已成为该国第二大高技术产业,生物技术公司数目、从业人数居世界第二位,主要聚集于魁北克、安大略、卑诗省三省,其中生物医药、生物农业、生物能
●初次添加只能从一种少量开始,仅为1~2茶匙,可分2~3次食入,连续3~5天。孩子乐于接受且大便正常,才可逐渐加量或变换、增加品种。●一般刚添加时可先吃辅食后再吃奶,待孩子适应