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靶向套细胞淋巴瘤的免疫微环境:对现有和新兴疗法的影响。

Targeting the immune microenvironment in mantle cell lymphoma: implications for current and emerging therapies.

机构信息

Lymphoma Service, Division of Hematologic Malignancies, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

出版信息

Leuk Lymphoma. 2022 Nov;63(11):2515-2527. doi: 10.1080/10428194.2022.2086244. Epub 2022 Jun 15.

Abstract

Mantle cell lymphoma (MCL) is a morphologically and phenotypically heterogeneous subtype of non-Hodgkin lymphoma, and has historically been associated with poor outcomes. However, recent advances in our understanding of this disease have yielded new targeted and immune-based therapies with promising activity. Immune-based therapies such as monoclonal antibodies, immunomodulators, and CAR T cells have significantly improved outcomes and are now standard of care in MCL. In this review, we describe our current understanding of the immune microenvironment of MCL, discuss current immunotherapeutic approaches, and highlight promising novel immune-based therapies and combination therapies that may further improve outcomes for patients with MCL.

摘要

套细胞淋巴瘤(MCL)是一种形态学和表型上具有异质性的非霍奇金淋巴瘤亚型,其历史上与不良预后相关。然而,近年来我们对这种疾病的认识的进展带来了新的靶向和免疫为基础的治疗方法,具有良好的疗效。免疫为基础的治疗方法,如单克隆抗体、免疫调节剂和 CAR T 细胞,显著改善了预后,现在是 MCL 的标准治疗方法。在这篇综述中,我们描述了我们目前对 MCL 的免疫微环境的理解,讨论了当前的免疫治疗方法,并强调了有前途的新型免疫为基础的治疗方法和联合治疗方法,这可能进一步改善 MCL 患者的预后。

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