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Targeted AML1-ETO neoantigen cytotoxic T cells are a form of adoptive cell therapy in which patient-derived or donor-derived cytotoxic T lymphocytes (CTLs) are engineered or selected to specifically recognize and kill acute myeloid leukemia (AML) cells expressing the AML1-ETO fusion protein. This fusion protein results from the t(8;21)(q22;q22) chromosomal translocation, which is common in a subset of AML. The therapy exploits unique peptides (neoantigens) generated by the fusion event that are presented on the surface of leukemic blasts via major histocompatibility complex (MHC), allowing for highly specific targeting by infused CTLs. The mechanism involves direct recognition and lysis of leukemic cells harboring these antigens while sparing normal tissues. This approach is under clinical investigation for relapsed or refractory t(8;21)-positive acute myeloid leukemia[9][1].
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