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免疫治疗时代异体造血干细胞移植在成人急性淋巴细胞白血病治疗中的作用。

Role of allogeneic haematopoietic stem cell transplantation in the treatment of adult acute lymphoblastic leukaemia in the era of immunotherapy.

机构信息

Peking University People's Hospital, Peking University Institute of Hematology, National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China.

出版信息

Chin Med J (Engl). 2022 Apr 20;135(8):890-900. doi: 10.1097/CM9.0000000000001898.

Abstract

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is currently the standard of care for adult acute lymphoblastic leukemia (ALL) patients. In recent years, with the continuous development of immunotherapy, such as chimeric antigen receptor T cells, blinatumomab, and inotuzumab ozogamicin, a series of vital clinical studies have confirmed its high response rate and favorable outcomes for ALL. Although the emergence of immunotherapy has expanded relapsed or refractory (r/r) ALL patients' opportunities to receive allo-HSCT, allo-HSCT is associated with potential challenges. In this review, the role of allo-HSCT in the treatment of adult ALL in the era of immunotherapy will be discussed.

摘要

异基因造血干细胞移植(allo-HSCT)目前是成人急性淋巴细胞白血病(ALL)患者的标准治疗方法。近年来,随着嵌合抗原受体 T 细胞、blinatumomab 和 inotuzumab ozogamicin 等免疫疗法的不断发展,一系列重要的临床研究证实了其对 ALL 的高反应率和良好疗效。尽管免疫疗法的出现扩大了复发/难治性(r/r)ALL 患者接受 allo-HSCT 的机会,但 allo-HSCT 仍存在潜在挑战。本文将讨论免疫治疗时代 allo-HSCT 在成人 ALL 治疗中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a6b/9276108/fd2231b04b19/cm9-135-0890-g001.jpg

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