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复发难治性弥漫性大B细胞淋巴瘤的耐药机制及新的靶向药物与治疗方法

Drug-Resistance Mechanism and New Targeted Drugs and Treatments of Relapse and Refractory DLBCL.

作者信息

Zhang Jing, Gu Yan, Chen Baoan

机构信息

Department of Hematology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, People's Republic of China.

出版信息

Cancer Manag Res. 2023 Feb 25;15:245-255. doi: 10.2147/CMAR.S400013. eCollection 2023.

Abstract

Diffuse large B-cell lymphoma (DLBCL) is the most common aggressive non-Hodgkin's lymphoma (NHL). 30 ~ 40% of DLBCL patients were resistant to the standard R-CHOP regimen or recurrence after remission. It is currently believed that drug resistance is the main cause of the recurrence and refractory of DLBCL (R/R DLBCL). With the increased understanding of DLBCL biology, tumor microenvironment and epigenetics, some new therapies and drugs like molecular and signal pathway target therapy, chimeric antigen receptor (CAR) T-cell therapy, immune checkpoint inhibitors, antibody drug-conjugate and tafasitamab have been used for R/R DLBCL. This article will review the drug resistance mechanism and novel targeted drugs and therapies of DLBCL.

摘要

弥漫性大B细胞淋巴瘤(DLBCL)是最常见的侵袭性非霍奇金淋巴瘤(NHL)。30%至40%的DLBCL患者对标准R-CHOP方案耐药或缓解后复发。目前认为耐药是DLBCL(R/R DLBCL)复发和难治的主要原因。随着对DLBCL生物学、肿瘤微环境和表观遗传学的认识不断增加,一些新的治疗方法和药物,如分子和信号通路靶向治疗、嵌合抗原受体(CAR)T细胞治疗、免疫检查点抑制剂、抗体药物偶联物和tafasitamab已被用于R/R DLBCL。本文将综述DLBCL的耐药机制以及新型靶向药物和治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/091e/9976586/be93802a45a1/CMAR-15-245-g0001.jpg

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