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CAR-T细胞治疗产品非临床药效学研究关注点
引用本文:侯田田,黄瑛,霍艳. CAR-T细胞治疗产品非临床药效学研究关注点[J]. 中国药事, 2018, 32(9): 1232-1238
作者姓名:侯田田  黄瑛  霍艳
作者单位:中国食品药品检定研究院, 药物非临床安全评价研究北京市重点实验室, 北京 100176,中国食品药品检定研究院, 药物非临床安全评价研究北京市重点实验室, 北京 100176,中国食品药品检定研究院, 药物非临床安全评价研究北京市重点实验室, 北京 100176
基金项目:十二五国家科技重大专项"生物大分子药物特殊评价关键技术研究"(编号2015ZX09501007-004);中国食品药品检定研究院学科带头人培养基金(编号2015X1)
摘    要:
CAR-T细胞(Chimeric Antigen Receptor T Cells,CAR-T)是一种表达嵌合抗原受体的基因工程T细胞,也称"活的药物",可以增强基因工程T细胞的特异性,能够以MHC (主要组织相容性复合体,Major Histocompatibility Complex,MHC)非依赖性的方式高度靶向肿瘤抗原,是治疗肿瘤的一种新手段。最近,临床上使用CAR-T细胞治疗复发、难治性血液恶性肿瘤和多发性骨髓瘤取得了很好的疗效;同时,采用CAR-T细胞治疗实体瘤的研发也在积极开展。根据所构建的CAR-T细胞不同的适应证和作用原理,构建不同的动物肿瘤模型,研究CAR-T细胞在动物模型的抗肿瘤活性,可以对CAR-T细胞进行概念验证性研究并证明其体内药效学活性,为临床研究提供有力的数据支持。

关 键 词:CAR-T细胞  药效学研究  抗肿瘤活性  毒性
收稿时间:2018-08-20

Considerations of Non-clinical Pharmacodynamic Study of CAR-T Cell Therapy Products
Hou Tiantian,Huang Ying and Huo Yan. Considerations of Non-clinical Pharmacodynamic Study of CAR-T Cell Therapy Products[J]. Chinese Pharmaceutical Affairs, 2018, 32(9): 1232-1238
Authors:Hou Tiantian  Huang Ying  Huo Yan
Affiliation:Beijing Key Laboratory, National Center for Safety Evaluation of Drugs, National Institutes for Food and Drug Control, Beijing 100176, China,Beijing Key Laboratory, National Center for Safety Evaluation of Drugs, National Institutes for Food and Drug Control, Beijing 100176, China and Beijing Key Laboratory, National Center for Safety Evaluation of Drugs, National Institutes for Food and Drug Control, Beijing 100176, China
Abstract:
Chimeric antigen receptor T (CAR-T) cells are genetically engineered T cells that express chimeric antigen receptors, also known as "living drugs". CAR-T cells can enhance the specificity of genetically engineered T cell, highly target tumor antigens in a major histocompatibility complex (MHC)-independent manner and provide a new approach to the treatment of tumors. Recently, clinical use of CAR-T cells for the treatment of relapsed, refractory hematological malignancies and multiple myeloma has achieved good results; at the same time, CAR-T cells can also be used to treat solid tumors. According to the different indications and mechanism of action of CAR-T cells, different animal tumor models were constructed to study the anti-tumor activities of CAR-T cells in animal models. Proof-of-concept studies could be carried out and in vivo pharmacodynamic activity could be confirmed so as to provide supportive data for clinical study of CAR-T cells.
Keywords:CAR-T cells  pharmacodynamic study  antitumor activity  toxicity
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