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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:New horizons for hope of cure in acute myeloid leukemia through immunotherapy: a narrative review.
New horizons for hope of cure in acute myeloid leukemia through immunotherapy: a narrative review.
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引言:急性髓系白血病(AML)是一种治疗困难的血液肿瘤,复发率高且结局常不理想。免疫疗法有望改变AML治疗模式并改善疗效,最终为这一难治疾病带来治愈可能。本叙述性综述旨在总结免疫治疗进展,并展望其在AML中的未来格局。综述范围:通过检索英文文献并在PubMed数据库中使用相关医学主题词,本文追溯AML免疫治疗发展历程,从首个抗体药物偶联物gemtuzumab ozogamicin,到较新的治疗方式,包括其他形式单克隆抗体、免疫检查点抑制剂、CAR-T 细胞疗法及疫苗。专家综述:尽管取得显著进展,传统和新型治疗的结局仍不理想。免疫疗法有望清除促成AML治疗耐药和疾病复发的白血病干细胞。如何将这些新兴治疗措施纳入AML治疗流程,以及它们在每位患者个体治疗方案中的确切定位,仍是今后发展靶向个体化临床方案所面临的挑战。
INTRODUCTION: Acute Myeloid Leukemia (AML) is a challenging blood cancer characterized by a high rate of relapse and often unfavorable outcomes. Immunotherapies can pave the way for a changing paradigm in AML treatment and improve therapeutic outcomes, ultimately leading to a possible cure for this challenging disease. This narrative review aims to summarize the progress of immunotherapy and highlight the future landscape of these measures in the context of AML. AREA COVERED: By searching English-language literature and querying the PubMed database using pertinent Medical Subject Headings, this review traces the development of AML immunotherapy, from the first antibody-drug conjugate, gemtuzumab ozogamicin, to newer approaches, including other monoclonal antibody formats, immune checkpoint inhibitors, chimeric antigen receptor T-cell therapy, and vaccinations.
EXPERT REVIEW: Although there have been significant advances, the outcomes of both traditional and novel therapies are still unsatisfactory. Immunotherapies could eliminate leukemia stem cells, which contribute to treatment resistance and disease relapse in AML. The positioning of these new therapeutic measures in development within the management algorithm for AML and their precise place in each patient's therapeutic plan are future challenges for enhancing targeted, personalized clinical programs.
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