Abstract

Chimeric antigen receptor T cell (CAR-T) therapy is a new type of immunotherapy, which has been developed rapidly in recent years. A number of clinical trials have confirmed that CAR-T therapy can effectively treat a variety of relapsed/refractory (R/R) hematological malignancies. The available results show that 70%-90% of R/R B cell acute lymphoblastic leukemia (B-ALL) patients who receive CD19 CAR-T therapy achieve complete remission (CR). However, ALL can relapse in some patients who achieved CR, and relapse has become one of the obstacles affecting the efficacy of CAR-T. The article aims to summarizes the possible mechanisms and prevention strategies of R/R B-ALL relapse after CD19 CAR-T therapy. Key words: Antigens, CD19; Receptors, antigen; Leukemia, lymphoid; Leukemia, B-cell; Immunotherapy; Recurrence; Chimeric antigen receptor T cell; B-acute lymphoblastic leukemia

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