Barth Matthew J, Chu Yaya, Hanley Patrick J, Cairo Mitchell S
Department of Pediatrics, Roswell Park Cancer Institute, Buffalo, NY, USA.
Division of Pediatric Hematology/Oncology, University at Buffalo, Buffalo, NY, USA.
Br J Haematol. 2016 May;173(4):597-616. doi: 10.1111/bjh.14078. Epub 2016 Apr 7.
With the introduction of the anti-CD20 monoclonal antibody rituximab, B-cell non-Hodgkin lymphoma was the first malignancy successfully treated with an immunotherapeutic agent. Since then, numerous advances have expanded the repertoire of immunotherapeutic agents available for the treatment of a variety of malignancies, including many lymphoma subtypes. These include the introduction of monoclonal antibodies targeting a variety of cell surface proteins, including the successful targeting of immunoregulatory checkpoint receptors present on T-cells or tumour cells. Additionally, cellular immunotherapeutic approaches utilize T- or Natural Killer-cells generated with chimeric antigen receptors against cell surface proteins or Epstein-Barr virus-associated latent membrane proteins. The following review describes the current state of immunotherapy for non-Hodgkin lymphoma including a summary of currently available data and promising agents currently in clinical development with future promise in the treatment of childhood, adolescent and young adult non-Hodgkin lymphoma.
随着抗CD20单克隆抗体利妥昔单抗的引入,B细胞非霍奇金淋巴瘤成为首个通过免疫治疗药物成功治疗的恶性肿瘤。从那时起,众多进展扩大了可用于治疗多种恶性肿瘤(包括许多淋巴瘤亚型)的免疫治疗药物种类。这些进展包括引入针对多种细胞表面蛋白的单克隆抗体,其中成功靶向了T细胞或肿瘤细胞上存在的免疫调节检查点受体。此外,细胞免疫治疗方法利用嵌合抗原受体产生的T细胞或自然杀伤细胞来对抗细胞表面蛋白或与爱泼斯坦-巴尔病毒相关的潜伏膜蛋白。以下综述描述了非霍奇金淋巴瘤免疫治疗的现状,包括当前可用数据的总结以及目前正在临床开发中、对儿童、青少年和青年非霍奇金淋巴瘤治疗具有未来前景的有前景药物。