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靶向 GPRC5D 的双特异性和三特异性抗体在多发性骨髓瘤中的应用:当前证据与新兴策略

英文原题:GPRC5D-targeting bispecific and trispecific antibodies in multiple myeloma: Current evidence and emerging strategies.

PubMed 2026/09/01(内容时间) Cancer Q1 · IF 5.6(JCR 2025)

研究概要

G蛋白偶联受体C类第5组成员D(GPRC5D)已成为复发/难治性多发性骨髓瘤中一个关键的免疫治疗靶点。

中文摘要

G蛋白偶联受体C类第5组成员D(GPRC5D)已成为复发/难治性多发性骨髓瘤中一个关键的免疫治疗靶点。尽管T细胞衔接双特异性抗体talquetamab是目前唯一获批的抗GPRC5D疗法,但众多有前景的药物正在进行临床评估。虽然抗GPRC5DCAR-T 细胞显示出潜力,但本综述特别聚焦于T细胞衔接双特异性和三特异性抗体。我们重点阐述GPRC5D在临床上与B细胞成熟抗原的差异,探讨耐药机制,讨论新型治疗策略包括联合方案及talquetamab作为CAR-T 细胞桥接治疗,并综述目前正在开发中的关键在研T细胞衔接器。

展开英文摘要原文

G-protein-coupled receptor class C group 5 member D (GPRC5D) has emerged as a crucial immunotherapy target in relapsed/refractory multiple myeloma. Although the T-cell-engaging bispecific antibody talquetamab is currently the only approved anti-GPRC5D therapy, numerous promising agents are undergoing clinical evaluation. While anti-GPRC5D chimeric antigen receptor T cells show potential, this review focuses specifically on T-cell-engaging bispecific and trispecific antibodies. We highlight how GPRC5D differs clinically from B-cell maturation antigen, explore mechanisms of resistance, discuss novel therapeutic strategies including combination regimens and talquetamab as bridging therapy to chimeric antigen receptor T cells, and review key investigational T-cell engagers currently in development.

论文信息

作者
Pan D、Kumar A、Lipof JJ、Chung A、Wolf JL、Martin TG 3rd、Arora S、Sayre PH
单位
Department of Medicine, University of California, San Francisco, California, USA.United States
文献类型
综述
期刊
Cancer2026 Sep 1
原文标识
PubMed 42675812 · DOI 10.1002/cncr.70597