Pytlik Robert, Polgarova Kamila, Karolova Jana, Klener Pavel
Institute of Haematology and Blood Transfusion, 128 00 Prague, Czech Republic.
First Department of Internal Medicine-Hematology, University General Hospital in Prague and First Faculty of Medicine, Charles University, U Nemocnice 2, 128 08 Prague 2, 110 00 Prague, Czech Republic.
Vaccines (Basel). 2020 Nov 27;8(4):708. doi: 10.3390/vaccines8040708.
Non-Hodgkin lymphomas (NHLs) are lymphoid malignancies of B- or T-cell origin. Despite great advances in treatment options and significant improvement of survival parameters, a large part of NHL patients either present with a chemotherapy-refractory disease or experience lymphoma relapse. Chemotherapy-based salvage therapy of relapsed/refractory NHL is, however, capable of re-inducing long-term remissions only in a minority of patients. Immunotherapy-based approaches, including bispecific antibodies, immune checkpoint inhibitors and genetically engineered T-cells carrying chimeric antigen receptors, single-agent or in combination with therapeutic monoclonal antibodies, immunomodulatory agents, chemotherapy or targeted agents demonstrated unprecedented clinical activity in heavily-pretreated patients with NHL, including chemotherapy-refractory cases with complex karyotype changes and other adverse prognostic factors. In this review, we recapitulate currently used immunotherapy modalities in NHL and discuss future perspectives of combinatorial immunotherapy strategies, including patient-tailored approaches.
非霍奇金淋巴瘤(NHL)是起源于B细胞或T细胞的淋巴系统恶性肿瘤。尽管治疗方案取得了巨大进展,生存参数也有显著改善,但很大一部分NHL患者要么表现为化疗难治性疾病,要么经历淋巴瘤复发。然而,基于化疗的复发/难治性NHL挽救治疗仅能使少数患者再次诱导出长期缓解。基于免疫疗法的方法,包括双特异性抗体、免疫检查点抑制剂和携带嵌合抗原受体的基因工程T细胞,单药或与治疗性单克隆抗体、免疫调节剂、化疗或靶向药物联合使用,在经过大量预处理的NHL患者中显示出前所未有的临床活性,包括具有复杂核型变化和其他不良预后因素的化疗难治性病例。在本综述中,我们概述了目前在NHL中使用的免疫治疗方式,并讨论了联合免疫治疗策略的未来前景,包括针对患者的个性化方法。