From the Section of Hematological Malignancies and Bone Marrow Transplantation, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
J Natl Compr Canc Netw. 2015 Nov;13(11):1440-7. doi: 10.6004/jnccn.2015.0168.
Immune therapy has emerged as a promising area of cancer therapeutics based on its potential for tumor selectivity and targeting of chemotherapy-resistant clones. Allogeneic transplantation produces durable remissions in a subset of patients, albeit at the cost of graft- versus-host disease. Recent years have witnessed efforts to induce more selective immune responses via dendritic cell vaccines, autologous and engineered T-cell therapy, and immune checkpoint blockade. Optimizing these immunotherapeutic approaches, understanding how to best use them in combination, and determining how to integrate them with standard anti-myeloma therapy could provide the potential to alter the natural history of this disease.
免疫疗法已成为癌症治疗领域中极具前景的方向,其基于对肿瘤的选择性以及对化疗耐药克隆的靶向性。异体移植虽然会带来移植物抗宿主病,但仍能使部分患者获得持久缓解。近年来,人们已通过树突细胞疫苗、自体和工程 T 细胞治疗以及免疫检查点阻断等方法,尝试诱导更具选择性的免疫反应。优化这些免疫治疗方法、了解如何将它们更好地联合应用以及明确如何将它们与标准抗骨髓瘤疗法相结合,都有可能改变该疾病的自然病程。