CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:The Precision Revolution in Hematologic Malignancies: A Decade of Transformative Immunotherapies and Targeted Agents.
The Precision Revolution in Hematologic Malignancies: A Decade of Transformative Immunotherapies and Targeted Agents.
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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。
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.
在 PubMed 查看 → 出版商原文(DOI) 全文 PDF(PMC)· 可下载 治疗专题与资料阅读指南 资料来源与翻译说明 报告译文或资料问题 →
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