不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Emerging new cell therapies/immune therapies in B-cell non-Hodgkin's lymphoma.
Emerging new cell therapies/immune therapies in B-cell non-Hodgkin's lymphoma.
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非霍奇金淋巴瘤(NHL)是一组异质性淋巴增殖性疾病,可起源于B淋巴细胞、T淋巴细胞或自然杀伤(NK)淋巴细胞。一线治疗方案已较为成熟,通常采用类固醇联合化疗。但复发/难治性(R/R)NHL的治疗仍具挑战性,新疗法正快速发展,其中许多聚焦于调动机体天然免疫机制识别并清除肿瘤细胞。免疫检查点抑制剂治疗霍奇金淋巴瘤(HL)已取得很大成功,但在NHL中的结果较为有限,促使研究者进一步探索针对NHL的免疫调节策略。本文综述R/R B细胞NHL新兴免疫疗法和细胞疗法,包括免疫检查点抑制剂、双特异性抗体、嵌合抗原受体(CAR)T细胞疗法及小分子抑制剂的单独或联合应用。
Non-Hodgkin's lymphomas (NHL) are a heterogeneous group of lymphoproliferative disorders originating in B-lymphocytes, T-lymphocytes, or natural killer (NK) lymphocytes. First line therapy is well established and generally a combination of steroids and chemotherapy.
Treatment of relapsed/refractory (R/R) NHL however remains a challenge with rapidly evolving new therapies. Many of these new therapies focus on manipulating the body's natural immune mechanisms to identify and eradicate tumor cells. There has been much success with using checkpoint inhibitors in Hodgkin's Lymphoma (HL).
However, results have been modest in NHL, prompting further studies of immunomodulatory strategies to target NHL. In this article, we review the emerging immune and cell therapies for R/R B-NHL including checkpoint inhibitors, bispecific antibodies, chimeric antigen receptor (CAR) T-cell therapy, and small molecule inhibitors both alone and in combination.
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