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浆细胞疾病病理生理学和治疗的最新进展

英文原题:Recent advances in the pathophysiology and treatment of plasma cell dyscrasias.

查看英文原题

Recent advances in the pathophysiology and treatment of plasma cell dyscrasias.

PubMed 2026/01/30(内容时间) Int J Hematol Q3 · IF 1.9(JCR 2025)

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中文摘要

多发性骨髓瘤是一种尚无法治愈的浆细胞恶性肿瘤。蛋白酶体抑制剂、免疫调节药物和单克隆抗体的应用改善了患者预后,但既往接受过三类药物治疗的骨髓瘤(TCE骨髓瘤)结局仍较差。如今,CAR-T 细胞疗法和双特异性抗体等新治疗选择进一步改善了预后,即使对TCE骨髓瘤患者亦如此。真正治愈仍具挑战,但目前认为功能性治愈是现实治疗目标;其定义是通过有利的免疫环境长期控制疾病并抑制微小残留病(MRD)。

展开英文摘要原文

Multiple myeloma is an incurable plasma cell malignancy. Its prognosis improved with the introduction of proteasome inhibitors, immunomodulatory drugs, and monoclonal antibodies, but outcomes for triple-class-exposed (TCE) myeloma remained poor.

New therapeutic options including CAR-T cell therapy and bispecific antibodies have now further improved prognosis, even in TCE myeloma. While true cure remains challenging, functional cure, defined as long-term disease control through a favorable immune environment suppressing minimal residual disease (MRD), is currently considered a realistic therapeutic goal.

论文信息

作者
Suzuki K
单位
Division of Clinical Oncology/Hematology, Department of Internal Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-Ku, Tokyo, 105-0003, Japan. kaz-suzuki@jikei.ac.jp.Japan
文献类型
综述
期刊
International journal of hematology2026 Jul
原文标识
PubMed 41615551 · DOI 10.1007/s12185-026-04166-6