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SOHO 最新进展与后续问题 | 儿童 T 细胞 ALL 和 T 淋巴母细胞淋巴瘤的新方法

英文原题:SOHO State of the Art Updates and Next Questions | Novel Approaches to Pediatric T-cell ALL and T-Lymphoblastic Lymphoma.

查看英文原题

SOHO State of the Art Updates and Next Questions | Novel Approaches to Pediatric T-cell ALL and T-Lymphoblastic Lymphoma.

PubMed 2022/07/20(内容时间) Clin Lymphoma Myeloma Leuk Q1 · IF 4.1(JCR 2025)

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中文摘要

尽管当代治疗使T细胞急性淋巴细胞白血病(T-ALL)和T淋巴母细胞淋巴瘤(T-LL)患儿的预后显著改善,但复发/难治性(r/r)疾病患者的预后仍然不佳。改进的风险分层和新疗法的引入有可能通过限制复发风险和改善r/r疾病患者的挽救率,进一步改善T-ALL/T-LL的预后。在这篇综述中,我们将讨论T-ALL和T-LL中改进风险分层的挑战和新机遇。我们将进一步讨论近期将新疗法奈拉滨和硼替佐米纳入T-ALL和T-LL患儿一线治疗的情况。最后,我们将探讨正在r/r T-ALL和T-LL中研究的新型靶向小分子抑制剂、免疫治疗和CAR-T 细胞疗法。

展开英文摘要原文

While outcomes for children with T-cell acute lymphoblastic leukemia (T-ALL) and T-lymphoblastic lymphoma (T-LL) have improved significantly with contemporary therapy, outcomes for patients with relapsed or refractory (r/r) disease remain dismal.

Improved risk stratification and the incorporation of novel therapeutics have the potential to improve outcomes further in T-ALL/T-LL by limiting relapse risk and improving salvage rates for those with r/r disease. In this review we will discuss the challenges and new opportunities for improved risk stratification in T-ALL and T-LL.

We will further discuss the recent incorporation of the novel therapeutics nelarabine and bortezomib into front-line therapy for children with T-ALL and T-LL.

Finally, we will address new classes of targeted small molecule inhibitors, immunotherapeutics, and chimeric antigen receptor T-cell therapies under investigation in r/r T-ALL and T-LL.

论文信息

作者
Summers RJ、Teachey DT
第一作者单位
Aflac Cancer and Blood Disorders Center, Children's Health Care of Atlanta, Atlanta, GA; Department of Pediatrics, Emory University School of Medicine, Atlanta, GA.United States
通讯作者单位
The Children's Hospital of Philadelphia, Philadelphia, PA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA. Electronic address: teacheyd@email.chop.edu.United States
文献类型
综述 · 非美国政府资助研究 · 美国 NIH 资助研究
期刊
Clinical lymphoma, myeloma & leukemia2022 Oct
原文标识
PubMed 35941070 · DOI 10.1016/j.clml.2022.07.010