National Amyloidosis Center, University College London (Royal Free Campus), London, United Kingdom.
Department of Hematology, University College London Hospitals, London, United Kingdom.
Blood. 2022 Dec 1;140(22):2317-2322. doi: 10.1182/blood.2021014613.
Light-chain amyloidosis has come far, with the first treatment getting regulatory approval in 2021. Daratumumab-based regimens achieve deep hematologic and organ responses, offering a new therapeutic backbone. Early identification, correct fibril typing, challenges of the very advanced patient, and lack of therapies to remove amyloid deposits remain under study, but are, as yet, elusive. We review the progress of treatment in AL amyloidosis, the impact of daratumumab, and the next steps after treatment.
轻链淀粉样变已经取得了很大进展,2021 年第一种治疗方法获得了监管部门的批准。基于达雷妥尤单抗的治疗方案可实现深度血液学和器官反应,为新的治疗提供了基础。早期发现、正确的纤维类型鉴定、非常晚期患者的挑战以及缺乏去除淀粉样沉积物的治疗方法仍在研究中,但目前仍难以实现。我们回顾了 AL 淀粉样变治疗的进展、达雷妥尤单抗的影响以及治疗后的下一步措施。