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CAR-NK疗法在急性髓系白血病中的应用研究进展OA

Research Advances in Application of CAR-NK Therapy for Acute Myeloid Leukemia

中文摘要英文摘要

嵌合抗原受体T细胞(CAR-T)免疫疗法在B系血液系统肿瘤中已取得突破性进展,然而在急性髓系白血病(AML)中,因缺乏高度特异的肿瘤抗原,且部分靶点在正常造血干/祖细胞上同样表达,其疗效与可控性受限,因此可能出现显著的骨髓抑制及细胞因子释放综合征(CRS)等不良反应.相较之下,CAR-NK细胞免疫疗法作为一种新兴策略,依托NK细胞的天然抗肿瘤活性,表现出较低的CRS与移植物抗宿主病(GVHD)风险,早期临床研究亦提示其具有良好的安全性与抗肿瘤活性.本文聚焦CAR-NK疗法在AML治疗中的最新进展,并对未来发展趋势与潜在突破方向加以展望.

Chimeric antigen receptor(CAR)T-cell therapy for B-cell hematologic malignancies has achieved breakthrough success;however,its efficacy for acute myeloid leukemia(AML)is constrained by the lack of highly specific tumor antigens and the expression of shared targets on normal hematopoietic stem/progenitor cells,increasing the risk of on-target myelosuppression and cytokine release syndrome(CRS).By contrast,CAR-NK cell therapy,an emerging strategy that leverages the innate antitumor activity of natural killer cells,is associated with low rates of CRS and graft-versus-host disease.Early clinical studies also indicate its favorable safety profile with preliminary antileukemic activity.This review summarizes recent advances in CAR-NK therapy for AML and discusses future directions and potential avenues for clinical translation.

苏帅;肖毅

430030 武汉,华中科技大学同济医学院附属同济医院血液科430030 武汉,华中科技大学同济医学院附属同济医院血液科

医药卫生

急性髓系白血病自然杀伤细胞免疫治疗CAR-NK

Acute myeloid leukemiaNatural killer cellImmunotherapyCAR-NK

《肿瘤防治研究》 2026 (4)

281-288,8

National Natural Science Foundation of China(Nos.81873444,82070213,82370196) 国家自然科学基金(81873444,82070213,82370196)

10.3971/j.issn.1000-8578.2026.25.0749

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