CAR Т-клетки для лечения хронического лимфоцитарного лейкоза: обзор литературы

И.В. Грибкова, А.А. Завьялов

ГБУ «НИИ организации здравоохранения и медицинского менеджмента ДЗМ», ул. Шарикоподшипниковская, д. 9, Москва, Российская Федерация, 115088

Для переписки: Ирина Владимировна Грибкова, канд. биол. наук, ул. Шарикоподшипниковская, д. 9, Москва, Российская Федерация, 115088; тел.: +7(916)078-73-90; e-mail: igribkova@yandex.ru

Для цитирования: Грибкова И.В., Завьялов А.А. CAR Т-клетки для лечения хронического лимфоцитарного лейкоза: обзор литературы. Клиническая онкогематология. 2021;14(2):225–30.

DOI: 10.21320/2500-2139-2021-14-2-225-230


РЕФЕРАТ

Хронический лимфоцитарный лейкоз (ХЛЛ) является наиболее распространенным злокачественным лимфоидным заболеванием взрослых. Несмотря на появление новых высокоэффективных таргетных препаратов, прогноз у больных с рецидивами и резистентной формой заболевания остается неблагоприятным. CAR Т-клеточная терапия, предполагающая использование Т-лимфоцитов с химерным антигенным рецептором (CAR), продемонстрировала свою эффективность в лечении ряда онкогематологических заболеваний, таких как В-клеточные неходжкинские лимфомы и острый лимфобластный лейкоз. В настоящем обзоре литературы рассматривается опыт применения CAR Т-клеток для лечения ХЛЛ. Представлены преимущества и недостатки данной технологии, а также проблемы, которые еще предстоит решить для внедрения метода в широкую клиническую практику.

Ключевые слова: хронический лимфоцитарный лейкоз, CAR T-клеточная терапия, химерный антигенный рецептор, адоптивная терапия, иммунотерапия.

Получено: 15 декабря 2020 г.

Принято в печать: 10 марта 2021 г.

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Статистика Plumx русский

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Иммунофенотипические и цитогенетические особенности опухолевых клеток у больного хроническим лимфоцитарным лейкозом, имевшего длительный контакт с источником радиации

С.Н. Колюбаева1, И.А. Сухина1, В.Ю. Никитин1, Т.В. Исакова1, А.С. Поляков1, С.Н. Малахова1, Л.А. Мякошина2, Ю.Н. Виноградова2, Н.В. Ильин2

1 Военно-медицинская академия имени С.М. Кирова, Санкт-Петербург, Российская Федерация

2 ФГУ «Российский научный центр радиологии и хирургических технологий» МЗ РФ, Санкт-Петербург, Российская Федерация


РЕФЕРАТ

В работе приводятся иммунологические и цитогенетические характеристики опухолевых клеток пациента с хроническим лимфоцитарным лейкозом (ХЛЛ), имевшего в анамнезе длительный контакт с источником ионизирующей радиации. Методом дифференциальной окраски хромосом с использованием митогенов в крови выявлено 2 % клеток с кариотипом 47,XY, +12. Наличие 0,67–0,73 % метафаз с дицентрическими хромосомами подтвердило воздействие радиации на пациента. Методом флюоресцентной гибридизации in situ (FISH) выявлено большое число клеток с трисомией хромосомы 12 как в костном мозге, так и периферической крови. Возможность анализировать специфичные для ХЛЛ повреждения в интерфазных ядрах — преимущество метода FISH по сравнению со стандартным цитогенетическим исследованием. Иммунофенотипирование позволило выявить отличия от «классического» ХЛЛ, заключающиеся в одновременной экспрессии CD22 и CD79b, а также экспрессии CD38 на поверхности большинства опухолевых клеток.


Ключевые слова: хронический лимфоцитарный лейкоз, радиационно-специфичные повреждения, дицентрические хромосомы, флюоресцентная гибридизация in situ, трисомия 12, облучение

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