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对抗复发和难治性套细胞淋巴瘤的新型治疗武器:最新进展与临床前景

英文原题:Combating relapsed and refractory Mantle cell lymphoma with novel therapeutic armamentarium: Recent advances and clinical prospects.

查看英文原题

Combating relapsed and refractory Mantle cell lymphoma with novel therapeutic armamentarium: Recent advances and clinical prospects.

PubMed 2023/08/02(内容时间) Crit Rev Oncol Hematol Q1 · IF 6.2(JCR 2025)

研究概要

套细胞淋巴瘤(MCL)是一种罕见的侵袭性非霍奇金淋巴瘤(NHL)亚型,占所有病例的5%。

中文摘要

套细胞淋巴瘤(MCL)是一种罕见的侵袭性非霍奇金淋巴瘤(NHL)亚型,占所有病例的5%。由于其毒力因素,它是一种无法治愈的疾病,尽管采用强化治疗方案仍不断复发。研究和药物发现的进展已将治疗策略从传统化疗转向靶向药物和免疫疗法。Bruton酪氨酸激酶作用的确立促进了伊布替尼(第一代BTK抑制剂)及其后续药物的开发。基于调理方案的免疫治疗药物如ibritumumob,也显示出可行的应答和良好的毒性特征。Brexucabtagene Autoleucel是唯一获批的CAR T细胞疗法,已证明对儿童和成人复发/难治性MCL均有益处。本文综述了某些有助于更新当前方法的疗法,并总结了几种在试验中很少研究的其他药物,这些药物可能减轻传统疗法中观察到的消退。数据可用性:本研究期间生成和/或分析的数据集可根据通讯作者的合理要求提供。

展开英文摘要原文

Mantle cell lymphoma (MCL) is a rare, aggressive subtype of non-Hodgkin's lymphoma (NHL), accounting for 5% of all cases. Due to its virulence factor, it is an incurable disease and keeps relapsing despite an intensive treatment regimen. Advancements in research and drug discovery have shifted the treatment strategy from conventional chemotherapy to targeted agents and immunotherapies. The establishment of the role of Bruton tyrosine kinase led to the development of ibrutinib, a first-generation BTK inhibitor, and its successors. A conditioning regimen based immunotherapeutic agent like ibritumumob, has also demonstrated a viable response with a favorable toxicity profile. Brexucabtagene Autoleucel, the only approved CAR T-cell therapy, has proven advantageous for relapsed/refractory MCL in both children and adults. This article reviews certain therapies that could help update the current approach and summarizes a few miscellaneous agents, which, seldom studied in trials, could alleviate the regression observed in traditional therapies. DATA AVAILABILITY: The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

论文信息

作者
Raghani NR、Shah DD、Shah TS、Chorawala MR、Patel RB
第一作者单位
Department of Pharmacology and Pharmacy practice, L. M. College of Pharmacy, Opp. Gujarat University, Navrangpura, Ahmedabad 380009, Gujarat, India. Electronic address: rrneha2910@gmail.com.India
通讯作者单位
Department of Internal Medicine, Division of Hematology and Oncology, UI Carver College of Medicine: The University of Iowa Roy J and Lucille A Carver College of Medicine, 375 Newton Rd, Iowa City, IA 52242, USA. Electronic address: rakeshkumar-patel@uiowa.edu.United States
文献类型
综述
期刊
Critical reviews in oncology/hematology2023 Oct
原文标识
PubMed 37536448 · DOI 10.1016/j.critrevonc.2023.104085