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急性淋巴细胞白血病(ALL)治疗的未来——基于免疫疗法的潜在作用。

Future of Therapy in Acute Lymphoblastic Leukemia (ALL)--Potential Role of Immune-Based Therapies.

作者信息

Kebriaei Partow, Poon Michelle Limei

机构信息

Department of Stem Cell Transplantation and Cellular Therapy, MD Anderson Cancer Center, The University of Texas, Houston, TX, USA,

出版信息

Curr Hematol Malig Rep. 2015 Jun;10(2):76-85. doi: 10.1007/s11899-015-0251-8.

DOI:10.1007/s11899-015-0251-8
PMID:25899862
Abstract

The prognosis of acute lymphoblastic leukemia (ALL) in adults remains poor, and novel treatment options are needed to improve outcomes. Immunotherapeutic strategies have been a recent focus in this area, targeting specific surface antigens on the ALL blast cells. Our review concentrates on four major class of antibody therapies, namely, (1) naked and unconjugated antibodies, (2) immunoconjugates and immunotoxins, (3) bi-specific T cell engaging (BiTE) therapy, and (4) chimeric antigen receptor (CAR) expressing T cells. We review preclinical and clinical data, and update on the latest advances in this exciting field, and suggest how these therapies can be incorporated into the treatment algorithm for ALL.

摘要

成人急性淋巴细胞白血病(ALL)的预后仍然很差,需要新的治疗方案来改善治疗结果。免疫治疗策略是该领域最近的研究重点,其针对ALL原始细胞上的特定表面抗原。我们的综述集中在四类主要的抗体疗法,即:(1)裸抗体和未偶联抗体;(2)免疫偶联物和免疫毒素;(3)双特异性T细胞衔接(BiTE)疗法;(4)表达嵌合抗原受体(CAR)的T细胞。我们综述了临床前和临床数据,介绍了这一令人兴奋的领域的最新进展,并提出了如何将这些疗法纳入ALL的治疗方案中。

相似文献

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Future of Therapy in Acute Lymphoblastic Leukemia (ALL)--Potential Role of Immune-Based Therapies.急性淋巴细胞白血病(ALL)治疗的未来——基于免疫疗法的潜在作用。
Curr Hematol Malig Rep. 2015 Jun;10(2):76-85. doi: 10.1007/s11899-015-0251-8.
2
Monoclonal antibodies and immune therapies for adult precursor B-acute lymphoblastic leukemia.成人前体B淋巴细胞急性淋巴细胞白血病的单克隆抗体和免疫疗法。
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New immune strategies for the treatment of acute lymphoblastic leukemia: antibodies and chimeric antigen receptors.治疗急性淋巴细胞白血病的新免疫策略:抗体与嵌合抗原受体
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本文引用的文献

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Re-induction chemoimmunotherapy with epratuzumab in relapsed acute lymphoblastic leukemia (ALL): Phase II results from Children's Oncology Group (COG) study ADVL04P2.复发急性淋巴细胞白血病(ALL)中再次使用依鲁替尼化疗免疫治疗:来自儿童肿瘤学组(COG)ADVL04P2 研究的 II 期结果。
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Phase II trial of the anti-CD19 bispecific T cell-engager blinatumomab shows hematologic and molecular remissions in patients with relapsed or refractory B-precursor acute lymphoblastic leukemia.
抗 CD19 双特异性 T 细胞衔接蛋白blinatumomab 的 II 期临床试验显示,复发或难治性 B 前体急性淋巴细胞白血病患者有血液学和分子缓解。
J Clin Oncol. 2014 Dec 20;32(36):4134-40. doi: 10.1200/JCO.2014.56.3247. Epub 2014 Nov 10.
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Antibody-based therapies in B-cell lineage acute lymphoblastic leukaemia.B细胞系急性淋巴细胞白血病的抗体疗法
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SWOG S0910: a phase 2 trial of clofarabine/cytarabine/epratuzumab for relapsed/refractory acute lymphocytic leukaemia.SWOG S0910:克拉屈滨/阿糖胞苷/依鲁替尼治疗复发/难治性急性淋巴细胞白血病的 2 期临床试验。
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Efficacy and toxicity management of 19-28z CAR T cell therapy in B cell acute lymphoblastic leukemia.19-28z嵌合抗原受体T细胞疗法治疗B细胞急性淋巴细胞白血病的疗效及毒性管理
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7
Feasibility of allografting in patients with advanced acute lymphoblastic leukemia after salvage therapy with inotuzumab ozogamicin.异基因造血干细胞移植治疗伊妥珠单抗奥滨尤妥珠单抗挽救治疗后进展期急性淋巴细胞白血病的可行性。
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8
Long-term follow-up of hematologic relapse-free survival in a phase 2 study of blinatumomab in patients with MRD in B-lineage ALL.在一项blinatumomab 治疗 B 系 ALL 患者微小残留病的 2 期研究中,血液学无复发生存的长期随访结果。
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Immunotoxin resistance via reversible methylation of the DPH4 promoter is a unique survival strategy.通过 DPH4 启动子的可逆甲基化产生免疫毒素耐药性是一种独特的生存策略。
Proc Natl Acad Sci U S A. 2012 May 1;109(18):6898-903. doi: 10.1073/pnas.1204523109. Epub 2012 Apr 16.