Developing Strategies to Improve the Efficacy of CAR-T Therapy for Acute Myeloid Leukemia

Curr Treat Options Oncol. 2023 Nov;24(11):1614-1632. doi: 10.1007/s11864-023-01140-w. Epub 2023 Oct 23.

Abstract

Acute myeloid leukemia (AML) is a fatal blood malignancy. With the development of immunotherapy, particularly chimeric antigen receptor T cells (CAR-T), the treatment of AML has undergone a significant change. Despite its advantages, CAR-T still faces a number of limitations and challenges while treating AML. Finding novel targets, altering the structure of CAR to increase efficacy while lowering side effects, and using double-target CAR and logic circuits are typical examples of key to answer these problems. With the advancement of gene editing technology, gene editing of tumor cells or normal cells to create therapeutic effects has grown in popularity. Additionally, the combination of multiple drugs is routinely used to address some of the obstacles and difficulties associated with CAR-T therapy. The review's primary goal was to summarize recent strategies and developments of CAR-T therapy for AML.

Keywords: Acute myeloid leukemia; CAR-T; Combination strategies; Gene modification; Logic circuit.

Publication types

  • Review

MeSH terms

  • Humans
  • Immunotherapy
  • Immunotherapy, Adoptive / adverse effects
  • Leukemia, Myeloid, Acute* / genetics
  • Receptors, Chimeric Antigen* / genetics
  • Receptors, Chimeric Antigen* / therapeutic use
  • T-Lymphocytes

Substances

  • Receptors, Chimeric Antigen