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10.1016/j.jcyt.2016.07.003

http://scihub22266oqcxt.onion/10.1016/j.jcyt.2016.07.003
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C5067198!5067198!27592405
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suck abstract from ncbi


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pmid27592405      Cytotherapy 2016 ; 18 (11): 1393-409
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  • Review: Current clinical applications of chimeric antigen receptor (CAR) modified T cells #MMPMID27592405
  • Geyer MB; Brentjens RJ
  • Cytotherapy 2016[Nov]; 18 (11): 1393-409 PMID27592405show ga
  • The past several years have been marked by extraordinary advances in clinical applications of immunotherapy. In particular, adoptive cellular therapy utilizing chimeric antigen receptor (CAR) modified T cells targeted to CD19 has demonstrated substantial clinical efficacy in children and adults with relapsed or refractory B cell acute lymphoblastic leukemia (B-ALL), and durable clinical benefit in a smaller subset of patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or B cell non-Hodgkin lymphoma (B-NHL). Early phase clinical trials are presently assessing CAR T cell safety and efficacy in additional malignancies. Herein, we discuss clinical results from the largest series to date investigating CD19-targeted CAR T cells in B-ALL, CLL, and B-NHL, including discussion of differences in CAR T cell design and production and treatment approach, as well as clinical efficacy, nature of severe cytokine release syndrome and neurologic toxicities, and CAR T cell expansion and persistence. We additionally review the current and forthcoming use of CAR T cells in multiple myeloma and several solid tumors, and highlight challenges and opportunities afforded by the current state of CAR T cell therapies, including strategies to overcome inhibitory aspects of the tumor microenvironment and enhance antitumor efficacy.
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