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(单词翻译:双击或拖选)
'Serial1 Killer2' Cells Demolish3 Leukemia Tumors
U.S. researchers say they've been able to modify a patient's immune system T cells, turning them into “serial killer” cells which zero in on cancer and obliterate5 it.
It’s being called a breakthrough in the treatment of a form of leukemia, a hard to treat and usually fatal blood cancer.
Chronic6 lymphocytic leukemia (CLL) is marked by a slow increase in immune system white blood cells, called B lymphocytes. These B cells, as they're known, are manufactured by the bone marrow7, the spongy tissue inside bones that also manufactures red blood cells.
Eventually, the healthy blood cells are crowded out by the proliferating8 B cells, the patient experiences bone marrow failure, and - without a bone marrow transplant - dies.
A transplant of healthy bone marrow from a donor9 has been the only treatment and potential cure for chronic lymphocytic leukemia. But it is very difficult to find a match and many people with CLL die while waiting. Even with a transplant, experts say only about half of CLL patients survive the procedure.
Three CLL patients who had run out of treatment options were selected for an experiment at the University of Pennsylvania. Researchers genetically10 engineered another one of their immune system cells, the T lymphocytes, to attack cancerous B cells.
Carl June, a professor of pathology and laboratory medicine at the school’s Abramson Cancer Center, was the study’s lead author.
“The actual trial exceeded our wildest outcome and imagination actually," says Carl June, professor of pathology and laboratory medicine, who was the study’s lead author, "because what we found is all three patients have had a remarkable11 anti-tumor4 response and that literally12 pounds of leukemia have been eradicated13 in all three patients.”
Two of the three CLL patients had a complete remission of their disease and there was a significant improvement in the third.
The T cells were genetically modified using a harmless virus, which carried an anti-body called a chimeric14 antigen receptor (CAR). Antibodies are immune system proteins which are produced in response to an infection.
The CAR was engineered to bind15 to another protein called CD19 that’s present on the surface of normal B lymphocytes and all CLL tumor cells.
Scientists say the modified T cells, injected into the patients following standard chemotherapy, homed in on the cancerous B cells inside the bone marrow, each T lymphocyte killing16 thousands of tumor cells.
Researcher Michael Kalos says the team also engineered a signaling molecule17 that binds18 to CD19, triggering the continued production of thousands of T cells. The genetically engineered cells act as sentries19 against cancerous B cells should they return.
“We saw a substantial number of cells remaining circulating and in the marrow of patients very, very late after infusion20, nine to 12 months, entirely21 unprecedented22 in the field," says Kalos. "And finally we saw that those cells, not only did they remain there, but they were able to be triggered, recognize and kill cancer cells when they encountered them again.”
In a report describing the so-called “serial killer” T cell therapy in the New England Journal of Medicine, researchers say it completely obliterated23 cancer cells in a 64-year-old man with CLL three weeks after treatment, and three to six months later, researchers could detect no sign of disease.
The patient’s marrow began manufacturing healthy B cells to replace the ones that were destroyed as "collateral24 damage" by the therapy. Cells that did not express CD19 were unaffected.
1 serial | |
n.连本影片,连本电视节目;adj.连续的 | |
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2 killer | |
n.杀人者,杀人犯,杀手,屠杀者 | |
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3 demolish | |
v.拆毁(建筑物等),推翻(计划、制度等) | |
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4 tumor | |
n.(肿)瘤,肿块(英)tumour | |
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5 obliterate | |
v.擦去,涂抹,去掉...痕迹,消失,除去 | |
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6 chronic | |
adj.(疾病)长期未愈的,慢性的;极坏的 | |
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7 marrow | |
n.骨髓;精华;活力 | |
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8 proliferating | |
激增( proliferate的现在分词 ); (迅速)繁殖; 增生; 扩散 | |
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9 donor | |
n.捐献者;赠送人;(组织、器官等的)供体 | |
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10 genetically | |
adv.遗传上 | |
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11 remarkable | |
adj.显著的,异常的,非凡的,值得注意的 | |
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12 literally | |
adv.照字面意义,逐字地;确实 | |
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13 eradicated | |
画着根的 | |
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14 chimeric | |
adj.妄想的,荒诞不经的 | |
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15 bind | |
vt.捆,包扎;装订;约束;使凝固;vi.变硬 | |
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16 killing | |
n.巨额利润;突然赚大钱,发大财 | |
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17 molecule | |
n.分子,克分子 | |
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18 binds | |
v.约束( bind的第三人称单数 );装订;捆绑;(用长布条)缠绕 | |
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19 sentries | |
哨兵,步兵( sentry的名词复数 ) | |
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20 infusion | |
n.灌输 | |
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21 entirely | |
ad.全部地,完整地;完全地,彻底地 | |
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22 unprecedented | |
adj.无前例的,新奇的 | |
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23 obliterated | |
v.除去( obliterate的过去式和过去分词 );涂去;擦掉;彻底破坏或毁灭 | |
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24 collateral | |
adj.平行的;旁系的;n.担保品 | |
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