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成人成熟 B 细胞淋巴瘤 T 细胞导向免疫治疗的进展:CAR-T 与双特异性抗体治疗的综合综述

英文原题:Advances in T-Cell-Directed Immunotherapy for Adult Mature B-Cell Lymphoma: A Comprehensive Review of CAR T-Cell and Bispecific Antibody Therapies.

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Advances in T-Cell-Directed Immunotherapy for Adult Mature B-Cell Lymphoma: A Comprehensive Review of CAR T-Cell and Bispecific Antibody Therapies.

PubMed 2025/06/26(内容时间) Cancer Res Treat Q2 · IF 4.2(JCR 2025)

研究概要

B细胞淋巴瘤是一组异质性恶性肿瘤,常规治疗后复发率高。

中文摘要

B细胞淋巴瘤是一组异质性恶性肿瘤,常规治疗后复发率高。T细胞介导的免疫疗法,尤其是嵌合抗原受体(CAR)T细胞疗法和T细胞衔接双特异性抗体(BsAbs),通过利用免疫系统靶向恶性细胞,已改变了治疗格局。本综述分析了多种CD19靶向CAR T细胞疗法及新兴CD20 CD3 BsAbs在不同B细胞淋巴瘤亚型中的疗效和安全性特征。尽管这些疗法已显示出高缓解率和持久缓解的潜力,但细胞因子释放综合征、神经毒性和感染等挑战仍然显著。理解这些机制并管理不良事件对于优化临床结局和指导个性化治疗策略的未来研究至关重要。

展开英文摘要原文

B-cell lymphomas are a heterogeneous group of malignancies with a high relapse rate after conventional therapies. T-cell-mediated immunotherapies, notably chimeric antigen receptor (CAR) T-cell therapies and T-cell-engaging bispecific antibodies (BsAbs), have transformed treatment paradigms by harnessing the immune system to target malignant cells. This review analyzes the efficacy and safety profiles of several CD19-targeted CAR T-cell therapies and emerging CD20 CD3 BsAbs across various B-cell lymphoma subtypes. While these therapies have demonstrated high response rates and potential for durable remissions, challenges such as cytokine release syndrome, neurotoxicity, and infections remain significant. Understanding these mechanisms and managing adverse effects are crucial for optimizing clinical outcomes and guiding future research in personalized treatment strategies.

论文信息

作者
Kim J、Kim SJ
第一作者单位
Department of Hematology-Oncology, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.South Korea
通讯作者单位
Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.South Korea
文献类型
综述
期刊
Cancer research and treatment2025 Oct
原文标识
PubMed 40575948 · DOI 10.4143/crt.2025.440