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Multi-leukemia antigen-specific T cells (mLSTs) are an investigational adoptive cell-based immunotherapy designed to treat myeloid malignancies, such as acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS), particularly in the post-allogeneic hematopoietic stem cell transplant (HCT) setting. This biologic therapy consists of donor-derived cytotoxic T lymphocytes (CTLs) that are expanded ex vivo using peptide libraries to recognize five specific tumor-associated antigens (TAAs): proteinase 3 (Pr3), Wilms tumor gene 1 (WT1), human neutrophil elastase (NE), preferentially expressed antigen in melanoma (PRAME), and melanoma-associated antigen A3 (MAGE-A3). By targeting multiple antigens simultaneously, mLSTs aim to provide broad anti-leukemic activity, overcome tumor heterogeneity, and minimize the risk of immune escape. The therapy is intended to enhance the graft-versus-leukemia (GvL) effect without inducing significant graft-versus-host disease (GvHD), cytokine release syndrome, or neurotoxicity.
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