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多发性骨髓瘤的细胞免疫治疗:现状、挑战与未来方向

英文原题:Cellular Immunotherapies for Multiple Myeloma: Current Status, Challenges, and Future Directions.

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Cellular Immunotherapies for Multiple Myeloma: Current Status, Challenges, and Future Directions.

PubMed 2022/02/01(内容时间) Oncol Ther Q2 · IF 3.4(JCR 2025)

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中文摘要

尽管蛋白酶体抑制剂、免疫调节药物、靶向CD38抗体及自体干细胞移植(auto-SCT)显著改善新诊断多发性骨髓瘤(MM)患者的临床结局,但由于复发,MM仍无法治愈。近年来,CAR-T 细胞疗法的引入为难治性和复发性MM患者带来了希望。异基因SCT的移植物抗骨髓瘤效应则使一部分MM患者有望获得治愈。本文综述MM细胞免疫疗法的最新进展和挑战,重点讨论auto-SCT、异基因SCT和CAR-T 细胞疗法,并探讨未来方向,提出MM细胞疗法的具体治疗算法,以及基于微小残留病指导治疗的可能性。

展开英文摘要原文

Multiple myeloma (MM) remains incurable due to relapse, although the use of proteasome inhibitors, immunomodulatory drugs, CD38-targeting antibodies, and autologous stem cell transplantation (auto-SCT) significantly improve the clinical outcomes of patients with newly diagnosed MM.

In recent years, the introduction of chimeric antigen receptor T-cell (CAR T-cell) therapy has brought hope to patients with refractory and relapsed MM. The graft-versus-myeloma effect of allogeneic SCT provides the possibility for curing a subset of MM patients. In this review, we summarize the recent advances and challenges of cellular immunotherapies for MM, focusing on auto-SCT, allogeneic SCT, and CAR T-cell approaches.

We also discuss future directions, and propose a specific algorithm for cellular therapies for MM and probability of minimal residual disease-directed therapy.

论文信息

作者
Yan ZL、Wang YW、Chang YJ
第一作者单位
Deparment of Hematology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.China
通讯作者单位
Peking University People's Hospital & Peking University Institute of Hematology, No 11 Xizhimen South Street, Beijing, 100044, China. rmcyj@bjmu.edu.cn.China
文献类型
综述
期刊
Oncology and therapy2022 Jun
原文标识
PubMed 35103936 · DOI 10.1007/s40487-022-00186-4