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谁来监督监督者:T 细胞重定向疗法在 T 细胞恶性肿瘤中面临的独特挑战

英文原题:Who will watch the watchmen: unique challenges of T-cell redirecting therapies in T-cell malignancies.

查看英文原题

Who will watch the watchmen: unique challenges of T-cell redirecting therapies in T-cell malignancies.

PubMed 2026/04/03(内容时间) Lancet Haematol Q1 · IF 20.4(JCR 2025)

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中文摘要

新型T细胞重定向免疫疗法的发展——包括免疫检查点抑制剂、双特异性抗体、CAR-T 细胞和病毒特异性T细胞——代表了血液系统恶性肿瘤治疗的重大进步。尽管此类疗法在治疗B细胞肿瘤方面有强有力的疗效证据,但在使用这些疗法治疗T细胞恶性肿瘤时会遇到若干独特挑战。在本综述中,我们讨论T细胞调节性免疫疗法在T细胞肿瘤中的应用,重点关注疾病发病机制中恶性T细胞与旁观者T细胞之间复杂的双向相互作用,以及由此产生的、影响该人群T细胞调节性疗法设计与可实施性的挑战。

展开英文摘要原文

The development of novel T-cell redirecting immune therapies-including immune checkpoint inhibitors, bispecific antibodies, chimeric antigen receptor T cells, and virus-specific T cells-represents a major advancement in the treatment of haematological malignancies. Although such therapies have strong evidence for efficacy in the treatment of B-cell neoplasms, several unique challenges are encountered when using these therapies for the treatment of T-cell malignancies.

In this Review, we discuss the application of T-cell modulating immune therapies in T-cell neoplasms, with a focus on the complicated bidirectional interactions between malignant and bystander T cells in disease pathogenesis, and the resultant challenges affecting the design and deliverability of T-cell modulating therapies in this cohort.

论文信息

作者
Elliott J、Ritchie D、Koldej R、Khot A
单位
ACRF Translational Research Laboratory, Royal Melbourne Hospital, Melbourne, VIC, Australia; Department of Clinical Haematology, Royal Melbourne Hospital and Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; Medicine Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC, Australia. Electronic address: jessica.elliott@petermac.org.Australia
文献类型
综述
期刊
The Lancet. Haematology2026 May
原文标识
PubMed 41941875 · DOI 10.1016/S2352-3026(26)00005-0