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多发性骨髓瘤治疗的免疫治疗

英文原题:Immunotherapy for the treatment of multiple myeloma.

查看英文原题

Immunotherapy for the treatment of multiple myeloma.

PubMed 2022/10/28(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

尽管多发性骨髓瘤治疗不断进步,多数患者最终仍会复发,并出现免疫逃逸和对标准治疗耐药。免疫治疗已成为强有力的肿瘤靶向细胞毒疗法,并具有诱导免疫记忆、降低复发风险的独特潜力。要开发能够产生持久应答的新疗法,必须了解晚期骨髓瘤中的免疫失调和功能障碍机制。过继细胞治疗,尤其CAR-T 细胞治疗,在难治性疾病中已显示出显著应答。进一步阐明免疫逃逸因素,以及治疗应答和耐药机制,对于开发下一代过继细胞疗法、指导新型联合治疗、并确定骨髓瘤治疗中引入免疫疗法的最佳时机至关重要。

展开英文摘要原文

Despite advances in treatment for multiple myeloma, the majority of patients ultimately develop relapsed disease marked by immune evasion and resistance to standard therapy. Immunotherapy has emerged as a powerful tool for tumor-directed cytotoxicity with the unique potential to induce immune memory to reduce the risk of relapse. Understanding the specific mechanisms of immune dysregulation and dysfunction in advanced myeloma is critical to the development of further therapies that produce a durable response.

Adoptive cellular therapy, most strikingly CAR T cell therapy, has demonstrated dramatic responses in the setting of refractory disease. Understanding the factors that contribute to immune evasion and the mechanisms of response and resistance to therapy will be critical to developing the next generation of adoptive cellular therapies, informing novel combination therapy, and determining the optimal time to incorporate immune therapy in the treatment of myeloma.

论文信息

作者
Boussi LS、Avigan ZM、Rosenblatt J
第一作者单位
Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United States.Israel
通讯作者单位
Division of Hematology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United States.Israel
文献类型
综述
期刊
Frontiers in immunology2022
原文标识
PubMed 36389674 · DOI 10.3389/fimmu.2022.1027385