Hematologic cancers, or malignancies of the blood system, include mainly leukemia, multiple myeloma, and lymphoma. The mainstream treatment for hematologic malignancies is intravenous chemotherapy, in which chemotherapy drugs are infused intravenously to reach various parts of the body with blood circulation and kill tumor cells present in the blood or tissues. Alternatively, local chemotherapy is used, which is mainly administered through a puncture needle into the spinal canal to kill lymphoma cells. Although the cancer may go into full or partial remission, the chance of recurrence or refractory cancers remains significant and is associated by extremely severe toxicity. So more efficient and safer treatment strategies need to be proposed. T cells genetically engineered with chimeric antigen receptors (CAR-T) for the treatment of hematologic cancers have been heavily investigated over the past decade and represent a new era of therapeutic strategies. In this paper,There is a discussion of the various obstacles and potential options for chimeric antigen receptor CAR-T treatment for hematologic malignancies.
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