CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Immunotherapies in acute leukemia.
Immunotherapies in acute leukemia.
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过去十年间,免疫治疗已成为急性白血病领域最有前景的治疗进展之一。抗体药物偶联物目前已与标准化疗方案联合用于急性髓系白血病(AML)和急性淋巴细胞白血病(ALL)。靶向CD19的免疫细胞衔接器及嵌合抗原受体(CAR)T细胞已获批用于复发/难治性B细胞急性淋巴细胞白血病,也为其在急性髓系白血病中的应用带来了有前景的发展方向。新一代免疫检查点抑制剂包括靶向TIM-3的药物,以及阻断CD47与巨噬细胞SIRP结合的药物;这些药物正与去甲基化药物联合开展研究,以期在可接受的安全性下改善身体状况较差的AML患者生存。本综述概述急性白血病领域开发的抗体衍生治疗策略,并重点介绍近期获批药物。
In the past decade, immunotherapy has emerged as one of the most promising field of therapeutic progress in acute leukemia. Antibody-drug conjugates are now combined to standard chemotherapy backbones in both acute myeloid (AML) and lymphoblastic leukemia (ALL). CD19 targeting immune cell engagers and chimeric antigen receptor (CAR) T-cells have been approved in relapsed/refractory B-cell acute lymphoblastic leukemia and pave the way to promising developments in acute myeloid leukemia.
Next generation immune checkpoint inhibitors targeting TIM-3 or CD47 binding by SIRP on macrophages are tested in combination to hypomethylating agents to improve survival of unfit AML patients with acceptable safety profiles. This review summarizes the antibody-derived strategies developed in the field of acute leukemias with a specific focus on recently approved drugs.
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