Development of CAR T Cell Therapy in Children-A Comprehensive Overview

CAR T cell therapy has revolutionized immunotherapy in the last decade with the successful establishment of chimeric antigen receptor (CAR)-expressing cellular therapies as an alternative treatment in relapsed and refractory CD19-positive leukemias and lymphomas. There are fundamental reasons why CA...

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Veröffentlicht in:Journal of clinical medicine 2022-04, Vol.11 (8), p.2158
Hauptverfasser: Boettcher, Michael, Joechner, Alexander, Li, Ziduo, Yang, Sile Fiona, Schlegel, Patrick
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container_issue 8
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container_title Journal of clinical medicine
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creator Boettcher, Michael
Joechner, Alexander
Li, Ziduo
Yang, Sile Fiona
Schlegel, Patrick
description CAR T cell therapy has revolutionized immunotherapy in the last decade with the successful establishment of chimeric antigen receptor (CAR)-expressing cellular therapies as an alternative treatment in relapsed and refractory CD19-positive leukemias and lymphomas. There are fundamental reasons why CAR T cell therapy has been approved by the Food and Drug administration and the European Medicines Agency for pediatric and young adult patients first. Commonly, novel therapies are developed for adult patients and then adapted for pediatric use, due to regulatory and commercial reasons. Both strategic and biological factors have supported the success of CAR T cell therapy in children. Since there is an urgent need for more potent and specific therapies in childhood malignancies, efforts should also include the development of CAR therapeutics and expand applicability by introducing new technologies. Basic aspects, the evolution and the drawbacks of childhood CAR T cell therapy are discussed as along with the latest clinically relevant information.
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source PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Antigens
Cancer
Chemotherapy
Clinical medicine
Clinical trials
Cytokines
FDA approval
Gene expression
Immunotherapy
Leukemia
Lymphocytes
Lymphoma
Medical prognosis
Pediatrics
Review
Senescence
Signal transduction
Success
T cell receptors
Young adults
title Development of CAR T Cell Therapy in Children-A Comprehensive Overview
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