Department of Haematology, UCL Cancer Institute, University College London, London, UK.
Wellcome-MRC Cambridge Stem Cell Institute, University of Cambridge, Cambridge, UK.
Br J Haematol. 2021 Jul;194(1):28-43. doi: 10.1111/bjh.17310. Epub 2021 May 3.
T-cell ALL (T-ALL) is an aggressive malignancy of T-cell progenitors. Although survival outcomes in T-ALL have greatly improved over the past 50 years, relapsed and refractory cases remain extremely challenging to treat and those who cannot tolerate intensive treatment continue to have poor outcomes. Furthermore, T-ALL has proven a more challenging immunotherapeutic target than B-ALL. In this review we explore our expanding knowledge of the basic biology of T-ALL and how this is paving the way for repurposing established treatments and the development of novel therapeutic approaches.
T 细胞急性淋巴细胞白血病(T-ALL)是 T 细胞前体细胞的侵袭性恶性肿瘤。尽管在过去的 50 年中,T-ALL 的生存结果有了很大改善,但复发和难治病例仍然极难治疗,那些不能耐受强化治疗的患者仍然预后不良。此外,T-ALL 已被证明是比 B 细胞急性淋巴细胞白血病更具挑战性的免疫治疗靶点。在这篇综述中,我们探讨了我们对 T-ALL 基础生物学的不断扩展的认识,以及这如何为重新利用已确立的治疗方法和开发新的治疗方法铺平道路。