Takase Ken, Miyamoto Toshihiro
Nihon Rinsho. 2015 Jan;73(1):107-13.
In the past two decades, autologous hematopoietic stem cell transplantation (HSCT) in combination with novel agents such as bortezomib, thalidomide, and lenalidomide have dramatically prolonged the survival of patients with multiple myeloma (MM), however, MM still remains incurable. Allogeneic HSCT can be a potentially curative therapy for MM through the graft-versus-myeloma (GVM) effect, but allogeneic HSCT is not regarded as a standard therapy because of high incidence of treatment-related mortality. Several studies have been employed to investigate efficacy of reduced-intensity conditioning regimens, autologous HSCT followed by consecutive allogeneic HSCT, and introduction of novel agents prior to and/or after allogeneic HSCT.
在过去二十年中,自体造血干细胞移植(HSCT)联合硼替佐米、沙利度胺和来那度胺等新型药物显著延长了多发性骨髓瘤(MM)患者的生存期,然而,MM仍然无法治愈。异基因HSCT通过移植物抗骨髓瘤(GVM)效应可能成为MM的一种潜在治愈性疗法,但由于治疗相关死亡率高,异基因HSCT不被视为标准疗法。已经开展了多项研究来调查减低强度预处理方案、自体HSCT后序贯异基因HSCT以及在异基因HSCT之前和/或之后引入新型药物的疗效。