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NK 细胞靶向治疗在急性髓系白血病中的演变

英文原题:Evolution of natural killer cell-targeted therapy for acute myeloid leukemia.

查看英文原题

Evolution of natural killer cell-targeted therapy for acute myeloid leukemia.

PubMed 2024/05/01(内容时间) Int J Hematol Q3 · IF 1.9(JCR 2025)

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中文摘要

在血液肿瘤领域,急性髓系白血病(AML)因遗传背景复杂且对传统疗法耐药而构成重大挑战。尽管强化化疗和造血干细胞移植(HSCT)等治疗已有进展,许多 AML 患者预后仍差。近期,免疫治疗通过增强现有疗法,成为改善结局的有前景方法。自然杀伤(NK)细胞是先天淋巴细胞的一个亚群,具有强大的 AML 细胞毒杀能力,因此受到关注。本综述讨论 NK 细胞在 AML 免疫监视中的作用、AML 患者 NK 细胞功能失调,以及利用 NK 细胞治疗 AML 的多种策略。文章还探讨 NK 细胞疗法面临的挑战和前景,包括增强 NK 细胞功能、克服免疫逃逸机制和优化治疗疗效的方法。最后,强调仍需进一步研究,以验证并改进以患者为中心的 NK 细胞 AML 免疫疗法。

展开英文摘要原文

In hematologic oncology, acute myeloid leukemia (AML) presents a significant challenge due to its complex genetic landscape and resistance to conventional therapies. Despite advances in treatment, including intensive chemotherapy and hematopoietic stem cell transplantation (HSCT), the prognosis for many patients with AML remains poor.

Recently, immunotherapy has emerged as a promising approach to improve outcomes by augmenting existing treatments. Natural killer (NK) cells, a subset of innate lymphoid cells, have garnered attention for their potent cytotoxic capabilities against AML cells. In this review, we discuss the role of NK cells in AML immunosurveillance, their dysregulation in patients with AML, and various therapeutic strategies leveraging NK cells in AML treatment.

We explore the challenges and prospects associated with NK cell therapy, including approaches to enhance NK cell function, overcome immune evasion mechanisms, and optimize treatment efficacy.

Finally, we emphasize the importance of further research to validate and refine patient-first NK cell-based immunotherapies for AML.

论文信息

作者
Kaito Y、Imai Y
单位
Department of Hematology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-Ku, Tokyo, 113-8602, Japan. y-kaito@nms.ac.jp.Japan
文献类型
综述
期刊
International journal of hematology2024 Jul
原文标识
PubMed 38693419 · DOI 10.1007/s12185-024-03778-0