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新型免疫治疗弥漫性大 B 细胞淋巴瘤:CAR-T 细胞治疗后时代。

Novel Immune-Based treatments for Diffuse Large B-Cell Lymphoma: The Post-CAR T Cell Era.

机构信息

Department of Medicine, Division of Hematology/Oncology, Indiana University School of Medicine, Indianapolis, IN, United States.

Department of Medicine, Division of Hematology/Oncology Richard L. Roudebush VA Medical Center, Indianapolis, IN, United States.

出版信息

Front Immunol. 2022 Jun 1;13:901365. doi: 10.3389/fimmu.2022.901365. eCollection 2022.

Abstract

Prognosis for patients with refractory/relapsed (R/R) diffuse large B-cell lymphoma (DLBCL) is poor. Immune-based therapeutic treatments such as CD19 Chimeric Antigen Receptor (CAR) T cell therapies have dramatically changed the treatment landscape for R/R DLBCL leading to durable remissions in ~ 50% of patients. However, there remains an unmet need for developing novel therapies to improve clinical outcomes of patients not responding or relapsing after CAR T cell therapies. Lack of suitable immunotherapeutic targets and disease heterogeneity represent the foremost challenges in this emerging field. In this review, we discuss the recently approved and emerging novel immunotherapies for patients with R/R DLBCL in the post-CAR T era and the cell surface targets currently used.

摘要

对于难治/复发(R/R)弥漫性大 B 细胞淋巴瘤(DLBCL)患者,预后较差。免疫治疗方法,如 CD19 嵌合抗原受体(CAR)T 细胞疗法,已经显著改变了 R/R DLBCL 的治疗格局,约 50%的患者获得了持久缓解。然而,对于那些在 CAR T 细胞治疗后无应答或复发的患者,仍然需要开发新的治疗方法来改善临床结局。缺乏合适的免疫治疗靶点和疾病异质性是这一新兴领域面临的首要挑战。在这篇综述中,我们讨论了 CAR T 治疗时代后,针对 R/R DLBCL 患者最近批准和新兴的新型免疫疗法,以及目前使用的细胞表面靶点。

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