Use of chimeric antigen receptor T cells in allogeneic hematopoietic stem cell transplantation

Immunotherapy. 2019 Jan;11(1):37-44. doi: 10.2217/imt-2018-0089.

Abstract

The chimeric antigen receptor T (CAR-T) cells play an antileukemia role, and can be used to treat or prevent relapse by targeting minimal residual disease for patients undergoing allogeneic hematopoietic stem cell transplantation (allo-HSCT). However, the infusion of allogeneic CAR-T cells may also cause graft-versus-host disease, which limited their applications during and after allo-HSCT. In this review, we discuss the clinical trials that applying CAR-T cells before allo-HSCT and the use of donor-derived CAR-T cells as conditioning regimen during allo-HSCT. At last, we analyzed the effect of donor-derived CAR-T cells on preventive infusion after allo-HSCT.

Keywords: CAR-T cells; acute lymphoblastic leukemia; acute myeloid leukemia; allogeneic CAR-T cells; allogeneic hematopoietic stem cell transplantation; conditioning regimen; donor-derived CAR-T cells; hematological malignancies; preventive infusion.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Combined Modality Therapy
  • Graft vs Host Disease / immunology*
  • Graft vs Leukemia Effect / immunology*
  • Hematopoietic Stem Cell Transplantation / methods*
  • Humans
  • Immune Tolerance
  • Immunotherapy, Adoptive / methods*
  • Leukemia, Myeloid, Acute / therapy*
  • Neoplasm, Residual
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / therapy*
  • Receptors, Chimeric Antigen / genetics
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / transplantation
  • Transplantation Conditioning
  • Transplantation, Homologous

Substances

  • Receptors, Chimeric Antigen