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快车无刹车:自体干细胞移植作为新型免疫疗法的平台

Fast Cars and No Brakes: Autologous Stem Cell Transplantation as a Platform for Novel Immunotherapies.

作者信息

Perales Miguel-Angel, Sauter Craig S, Armand Philippe

机构信息

Department of Medicine, Adult Bone Marrow Transplant Service, Memorial Sloan Kettering Cancer Center, New York, New York; Department of Medicine, Weill Cornell Medical College, New York, New York.

Department of Medicine, Adult Bone Marrow Transplant Service, Memorial Sloan Kettering Cancer Center, New York, New York; Department of Medicine, Weill Cornell Medical College, New York, New York.

出版信息

Biol Blood Marrow Transplant. 2016 Jan;22(1):17-22. doi: 10.1016/j.bbmt.2015.10.014. Epub 2015 Oct 17.

Abstract

Autologous stem cell transplantation (ASCT) is indicated in a number of hematologic malignancies, including multiple myeloma, non-Hodgkin lymphoma, and Hodgkin lymphoma. Relapse, however, remains 1 of the main causes of post-ASCT failure, and several strategies are being investigated to decrease the risk of relapse of progression. Recent advances in the treatment of hematological malignancies have included adoptive transfer of genetically modified T cells that express chimeric antigen receptors or T cell receptors, as well the use of checkpoint inhibitors. Early clinical results in nontransplantation patients have been very promising. This review will focus on the use of gene-modified T cells and checkpoint inhibitors in stem cell transplantation.

摘要

自体干细胞移植(ASCT)适用于多种血液系统恶性肿瘤,包括多发性骨髓瘤、非霍奇金淋巴瘤和霍奇金淋巴瘤。然而,复发仍然是ASCT后治疗失败的主要原因之一,目前正在研究多种策略以降低复发或疾病进展的风险。血液系统恶性肿瘤治疗的最新进展包括过继转移表达嵌合抗原受体或T细胞受体的基因改造T细胞,以及使用检查点抑制剂。非移植患者的早期临床结果非常有前景。本综述将聚焦于基因改造T细胞和检查点抑制剂在干细胞移植中的应用。

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