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小儿急性白血病现代治疗方法的见解

Insights into Modern Therapeutic Approaches in Pediatric Acute Leukemias.

作者信息

Panuciak Kinga, Margas Mikołaj, Makowska Karolina, Lejman Monika

机构信息

Student Scientific Society, Laboratory of Genetic Diagnostics, Medical University of Lublin, 20-093 Lublin, Poland.

Laboratory of Genetic Diagnostics, Medical University of Lublin, 20-093 Lublin, Poland.

出版信息

Cells. 2022 Jan 2;11(1):139. doi: 10.3390/cells11010139.

Abstract

Pediatric cancers predominantly constitute lymphomas and leukemias. Recently, our knowledge and awareness about genetic diversities, and their consequences in these diseases, have greatly expanded. Modern solutions are focused on mobilizing and impacting a patient's immune system. Strategies to stimulate the immune system, to prime an antitumor response, are of intense interest. Amid those types of therapies are chimeric antigen receptor T (CAR-T) cells, bispecific antibodies, and antibody-drug conjugates (ADC), which have already been approved in the treatment of acute lymphoblastic leukemia (ALL)/acute myeloid leukemia (AML). In addition, immune checkpoint inhibitors (ICIs), the pattern recognition receptors (PRRs), i.e., NOD-like receptors (NLRs), Toll-like receptors (TLRs), and several kinds of therapy antibodies are well on their way to showing significant benefits for patients with these diseases. This review summarizes the current knowledge of modern methods used in selected pediatric malignancies and presents therapies that may hold promise for the future.

摘要

儿童癌症主要包括淋巴瘤和白血病。最近,我们对这些疾病中的基因多样性及其后果的认识和了解有了极大的扩展。现代治疗方案聚焦于调动和影响患者的免疫系统。刺激免疫系统以引发抗肿瘤反应的策略备受关注。在这类疗法中,嵌合抗原受体T(CAR-T)细胞、双特异性抗体和抗体药物偶联物(ADC)已被批准用于治疗急性淋巴细胞白血病(ALL)/急性髓系白血病(AML)。此外,免疫检查点抑制剂(ICI)、模式识别受体(PRR),即核苷酸结合寡聚化结构域样受体(NLR)、Toll样受体(TLR)以及几种治疗性抗体,也很有希望为这些疾病的患者带来显著益处。本综述总结了目前在特定儿童恶性肿瘤中使用的现代方法的相关知识,并介绍了可能在未来具有前景的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47b4/8749975/a777904b653d/cells-11-00139-g001.jpg

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