2021
DOI: 10.3390/cancers13184664
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CAR-T after Stem Cell Transplantation in B-Cell Lymphoproliferative Disorders: Are They Really Autologous or Allogenic Cell Therapies?

Abstract: Allogenic hematopoietic stem cell transplantation (allo-HSCT) is one of the standard treatments for B-cell lymphoproliferative disorders; however, deep relapses are common after an allo-HSCT, and it is associated with poor prognosis. A successful approach to overcome these relapses is to exploit the body’s own immune system with chimeric antigen receptor (CAR) T-cells. These two approaches are potentially combinatorial for treating R/R B-cell lymphoproliferative disorders. Several clinical trials have describe… Show more

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Cited by 13 publications
(11 citation statements)
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References 69 publications
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“…The possibility of long-term storage of cryopreserved leukapheresis product may be beneficial for pediatric patients with ALL and patients with high-risk non-Hodgkin lymphoma who have early r/r disease prior to additional salvage and bridging. Notably, if a patient is planning to proceed with allogeneic stem cell transplant (alloSCT) and requires CAR T-cell therapy for post-alloSCT relapse, it is unlikely that the leukapheresis product stored from pre-alloSCT would be utilized, and a fresh collection would be preferred [11,12]. The optimal timing for cryopreservation is as soon as possible after collection, but at most within 24 h of collection [10].…”
Section: Introductionmentioning
confidence: 99%
“…The possibility of long-term storage of cryopreserved leukapheresis product may be beneficial for pediatric patients with ALL and patients with high-risk non-Hodgkin lymphoma who have early r/r disease prior to additional salvage and bridging. Notably, if a patient is planning to proceed with allogeneic stem cell transplant (alloSCT) and requires CAR T-cell therapy for post-alloSCT relapse, it is unlikely that the leukapheresis product stored from pre-alloSCT would be utilized, and a fresh collection would be preferred [11,12]. The optimal timing for cryopreservation is as soon as possible after collection, but at most within 24 h of collection [10].…”
Section: Introductionmentioning
confidence: 99%
“…Relapse and disease persistence after allo-HSCT resulting in treatment failure and death is another significant challenge in addition to the transplant-related toxicity. The reported adverse effects of allo-HSCT and CAR-T cell therapy are acute and chronic GVHD, graft failure, infections, prolonged cytopenias, neurotoxicity, and cytokine release syndrome [ 163 , 164 ].…”
Section: Challenges and Limitationsmentioning
confidence: 99%
“…One promising ACT treatment is the use of CAR-T cell, where T lymphocytes are genetically modified to express chimeric antigen receptors that recognize a specific surface tumor antigen. CAR -T cells have the main advantage of being non-MHC II restricted, so they can be administered from healthy allogenic donors, and they are still effective in cancers with down-regulation of MHCII [ 121 , 122 , 123 ]. However, despite the success of CAR-T CD19 cell therapy in lymphoproliferative diseases, the results in solid tumors, including melanoma, have been disappointing [ 124 , 125 ].…”
Section: Immunotherapeutic Strategiesmentioning
confidence: 99%