← 返回

复发/难治性自然杀伤/T 细胞淋巴瘤的耐药机制及潜在治疗策略

英文原题:Resistance mechanisms and potential therapeutic strategies in relapsed or refractory natural killer/T cell lymphoma.

查看英文原题

Resistance mechanisms and potential therapeutic strategies in relapsed or refractory natural killer/T cell lymphoma.

PubMed 2024/08/23(内容时间) Chin Med J (Engl) Q1 · IF 9.1(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

自然杀伤/T细胞淋巴瘤(NKTCL)是一种起源于NK或T细胞的恶性肿瘤,具有高度侵袭性和异质性。NKTCL主要与Epstein-Barr病毒感染相关,在亚洲和拉丁美洲人群中发病率较高。由于天冬酰胺酶和免疫治疗的应用,临床结局已显著改善。然而,对于一线治疗失败的患者,预后极差。多药耐药基因过表达、信号通路异常、表观遗传修饰以及活动性Epstein-Barr病毒感染可能是耐药的原因。本综述总结了NKTCL的耐药机制,并提出了潜在的治疗策略。

展开英文摘要原文

Natural killer/T cell lymphoma (NKTCL) is a malignant tumor originating from NK or T cells, characterized by its highly aggressive and heterogeneous nature. NKTCL is predominantly associated with Epstein-Barr virus infection, disproportionately affecting Asian and Latin American populations. Owing to the application of asparaginase and immunotherapy, clinical outcomes have improved significantly.

However, for patients in whom first-line treatment fails, the prognosis is exceedingly poor. Overexpression of multidrug resistance genes, abnormal signaling pathways, epigenetic modifications and active Epstein-Barr virus infection may be responsible for resistance. This review summarized the mechanisms of resistance for NKTCL and proposed potential therapeutic approaches.

论文信息

作者
Wang C、Wang L
第一作者单位
Department of Hematology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.China
文献类型
综述
期刊
Chinese medical journal2024 Oct 5
原文标识
PubMed 39175124 · DOI 10.1097/CM9.0000000000003152