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多发性骨髓瘤中的 T 细胞功能障碍

英文原题:T Cells Dysfunction in Multiple Myeloma.

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T Cells Dysfunction in Multiple Myeloma.

PubMed 2025/09/11(内容时间) Immunotargets Ther Q2 · IF 4.1(JCR 2025)

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中文摘要

多发性骨髓瘤(MM)是一种浆细胞血液系统恶性肿瘤。临床应用抗CD38单克隆抗体、CAR-T 细胞和双特异性T细胞衔接器(TCE),显著改善了患者生存。然而,骨髓免疫抑制性微环境会阻碍这些新型免疫疗法的效果,限制其疗效。因此,阐明确切机制并制定提高免疫疗效的策略至关重要。本综述系统概述近期关于不同T细胞亚型参与MM免疫逃逸机制的研究,强调免疫监视与免疫抑制之间的失衡,并介绍非传统T细胞、免疫反应的代谢调控,以及针对促进MM进展的免疫逃逸机制的新治疗策略研究进展。

展开英文摘要原文

Multiple myeloma (MM) is a kind of plasma cell hematologic malignancy. Notable advancements in patient survival have been achieved due to the clinical application of anti-CD38 monoclonal antibody, chimeric antigen receptor T cells (CAR-T) and bispecific T cell engagers (TCEs).

However, the immunosuppressive microenvironment of the bone marrow hinders the effectiveness of these novel immunotherapies, consequently restricting their efficacy. Hence, it is imperative to clarify the exact mechanisms to devise strategies aimed at improving the efficacy of immunotherapy. In this review, we provide a systematic overview of recent research concerning the different T cell subtypes in the immune evasion mechanisms of MM.

The review emphasizes the imbalance between the immune surveillance and the immune suppression, and highlight recent studies about unconventional T cells, the metabolic control of immune reactions, and novel therapeutic strategies aimed at addressing immune evasion mechanisms that promote the progression of MM.

论文信息

作者
Cai L、Zuo L、Wang G、Li Q、Ma C、Wu J、Sun C、Hu Y
单位
Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430022, People's Republic of China.China
文献类型
综述
期刊
ImmunoTargets and therapy2025
原文标识
PubMed 40959595 · DOI 10.2147/ITT.S534784