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血液系统恶性肿瘤的精准革命:变革性免疫治疗与靶向药物的十年

英文原题:The Precision Revolution in Hematologic Malignancies: A Decade of Transformative Immunotherapies and Targeted Agents.

查看英文原题

The Precision Revolution in Hematologic Malignancies: A Decade of Transformative Immunotherapies and Targeted Agents.

PubMed 2025/12/16(内容时间) J Clin Med Q1 · IF 3.3(JCR 2025)

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中文摘要

本综述描述了过去十年白血病、淋巴瘤、骨髓瘤和骨髓增生异常综合征等血液系统恶性肿瘤治疗格局的显著变化。治疗模式迅速从单纯依赖细胞毒性化疗,转向精准医疗;这一转变得益于对疾病生物学和精确分子改变前所未有的认识。强效免疫疗法(如CAR-T 细胞疗法和双特异性抗体)以及创新靶向药物(如BTK抑制剂、BCL-2抑制剂和免疫调节药物)的开发,是这场变革的核心。本文评估这些新药的临床应用价值、疗效和近期进展,并考察新的协同联合治疗策略。综述还讨论了若干重要问题,包括获得性耐药管理、减轻经济负担,以及调整临床试验设计以跟上创新步伐。这些进展共同重塑临床实践,带来更深且更持久的应答,并显著改善患者预后和生活质量。

展开英文摘要原文

This review describes the dramatic transformation that has occurred in the last ten years in the therapeutic landscape for hematologic malignancies, such as leukemias, lymphomas, myelomas, and myelodysplastic syndromes. Treatment paradigms have quickly changed from depending solely on cytotoxic chemotherapy to embracing precision medicine, driven by a previously unprecedented understanding of disease biology and precise molecular changes.

The development of powerful immunotherapies (such as CAR T-cell therapy and bispecific antibodies) and innovative targeted agents (like BTK inhibitors, BCL-2 inhibitors, and immunomodulatory medications) is at the heart of this revolution.

In addition to evaluating new and synergistic combination strategies, this paper examines the clinical utility, efficacy, and recent developments of these novel agents. It also addresses important issues like managing acquired drug resistance, minimizing financial burden, and adapting clinical trial designs to keep pace with innovation. These advancements are collectively redefining clinical practice, leading to deeper and more durable responses, and significantly improving the prognosis and quality of life for patients.

论文信息

作者
Mansour GK、Hajjar AW、Sajid MR
第一作者单位
Department of Pharmaceutical Sciences, College of Pharmacy, Alfaisal University, Riyadh 11533, Saudi Arabia.Saudi Arabia
通讯作者单位
Department of Pathology, College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia.Saudi Arabia
文献类型
综述
期刊
Journal of clinical medicine2025 Dec 16
原文标识
PubMed 41464798 · DOI 10.3390/jcm14248896