不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Resistance mechanisms and potential therapeutic strategies in relapsed or refractory natural killer/T cell lymphoma.
Resistance mechanisms and potential therapeutic strategies in relapsed or refractory natural killer/T cell lymphoma.
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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。
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.
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