Shang Yufeng, Zhou Fuling
Department of Hematology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Front Oncol. 2019 Sep 19;9:917. doi: 10.3389/fonc.2019.00917. eCollection 2019.
Recently, due to the application of hematopoietic stem cell transplantation and small molecule inhibitor, the survival of acute leukemia is prolonged. However, the 5 year survival rate remains low due to a high incidence of relapse. Immunotherapy is expected to improve the prognosis of patients with relapsed or refractory hematological malignancies because it does not rely on the cytotoxic mechanisms of conventional therapy. In this paper, the advances of immunotherapy in acute leukemia are reviewed from the aspects of Antibody including Unconjugated antibodies, Antibody-drug conjugate and Bispecific antibody, Chimeric Antigen Receptor (CARs), Immune checkpoint, Natural killer cells. The immunological features, mechanisms and limitation in clinic will be described.
近年来,由于造血干细胞移植和小分子抑制剂的应用,急性白血病患者的生存期得以延长。然而,由于复发率高,其5年生存率仍然较低。免疫疗法有望改善复发或难治性血液系统恶性肿瘤患者的预后,因为它不依赖于传统疗法的细胞毒性机制。本文从抗体(包括未偶联抗体、抗体药物偶联物和双特异性抗体)、嵌合抗原受体(CAR)、免疫检查点、自然杀伤细胞等方面综述了免疫疗法在急性白血病中的研究进展。文中将描述其免疫特性、作用机制及临床局限性。