中文摘要
尽管多发性骨髓瘤(MM)治疗已有显著进步,该病多数情况下仍无法治愈,亟需新的治疗方法。具有高危疾病特征的患者预后尤其差,对目前一线治疗应答有限。近期免疫治疗策略、尤其是T细胞疗法,改变了复发/难治性患者的治疗格局。过继细胞疗法包括嵌合抗原受体(CAR)T细胞,已成为极具前景的治疗方式,尤其适用于难治性疾病患者。其他正在临床试验中的过继细胞疗法包括基于T细胞受体(TCR)的治疗,以及将CAR技术拓展至自然杀伤(NK)细胞。本文探讨MM过继细胞治疗的发展,特别关注这些疗法对高危骨髓瘤患者的临床影响。
展开英文摘要原文
Despite significant improvements in the treatment of multiple myeloma (MM), it remains mostly incurable, highlighting a need for new therapeutic approaches. Patients with high-risk disease characteristics have a particularly poor prognosis and limited response to current frontline therapies. The recent development of immunotherapeutic strategies, particularly T cell-based agents have changed the treatment landscape for patients with relapsed and refractory disease.
Adoptive cellular therapies include chimeric antigen receptor (CAR) T cells, which have emerged as a highly promising therapy, particularly for patients with refractory disease. Other adoptive cellular approaches currently in trials include T cell receptor-based therapy (TCR), and the expansion of CAR technology to natural killer (NK) cells. In this review we explore the emerging therapeutic field of adoptive cellular therapy for MM, with a particular focus on the clinical impact of these therapies for patients with high-risk myeloma.
论文信息
- 作者
- Duane C、O'Dwyer M、Glavey S
- 单位
- Department of Haematology, Beaumont Hospital, D09 V2N0 Dublin, Ireland.Ireland
- 文献类型
- 综述
- 期刊
- Cancers2023 May 6