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探索多发性骨髓瘤中的细胞免疫治疗平台。

Exploring cellular immunotherapy platforms in multiple myeloma.

作者信息

Vo Manh-Cuong, Jung Sung-Hoon, Nguyen Van-Tan, Tran Van-Dinh-Huan, Ruzimurodov Nodirjon, Kim Sang Ki, Nguyen Xuan-Hung, Kim Mihee, Song Ga-Young, Ahn Seo-Yeon, Ahn Jae-Sook, Yang Deok-Hwan, Kim Hyeoung-Joon, Lee Je-Jung

机构信息

Institute of Research and Development, Duy Tan University, Danang, Viet Nam.

Research Center for Cancer Immunotherapy, Chonnam National University Hwasun Hospital, Hwasun, Jeollanamdo, Republic of Korea.

出版信息

Heliyon. 2024 Mar 13;10(6):e27892. doi: 10.1016/j.heliyon.2024.e27892. eCollection 2024 Mar 30.

DOI:10.1016/j.heliyon.2024.e27892
PMID:38524535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10957441/
Abstract

Despite major advances in therapeutic platforms, most patients with multiple myeloma (MM) eventually relapse and succumb to the disease. Among the novel therapeutic options developed over the past decade, genetically engineered T cells have a great deal of potential. Cellular immunotherapies, including chimeric antigen receptor (CAR) T cells, are rapidly becoming an effective therapeutic modality for MM. Marrow-infiltrating lymphocytes (MILs) derived from the bone marrow of patients with MM are a novel source of T cells for adoptive T-cell therapy, which robustly and specifically target myeloma cells. In this review, we examine the recent innovations in cellular immunotherapies, including the use of dendritic cells, and cellular tools based on MILs, natural killer (NK) cells, and CAR T cells, which hold promise for improving the efficacy and/or reducing the toxicity of treatment in patients with MM.

摘要

尽管治疗平台取得了重大进展,但大多数多发性骨髓瘤(MM)患者最终仍会复发并死于该疾病。在过去十年开发的新型治疗选择中,基因工程改造的T细胞具有很大的潜力。包括嵌合抗原受体(CAR)T细胞在内的细胞免疫疗法正迅速成为MM的一种有效治疗方式。源自MM患者骨髓的骨髓浸润淋巴细胞(MILs)是过继性T细胞疗法中T细胞的一种新来源,其能有力且特异性地靶向骨髓瘤细胞。在本综述中,我们探讨了细胞免疫疗法的最新创新,包括树突状细胞的应用,以及基于MILs、自然杀伤(NK)细胞和CAR T细胞的细胞工具,这些有望提高MM患者治疗的疗效和/或降低治疗毒性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/b13dafc908a6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/4747b103d305/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/02c3bedd598b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/a7725cf01396/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/367f777358b0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/53a5051f0f0e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/b13dafc908a6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/4747b103d305/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/02c3bedd598b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/a7725cf01396/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/367f777358b0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/53a5051f0f0e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5aef/10957441/b13dafc908a6/gr6.jpg

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本文引用的文献

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Harnessing Nanotechnology: Emerging Strategies for Multiple Myeloma Therapy.纳米技术的应用:多发性骨髓瘤治疗的新兴策略。
Biomolecules. 2024 Jan 9;14(1):83. doi: 10.3390/biom14010083.
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Adoptive NK Cell Therapy - a Beacon of Hope in Multiple Myeloma Treatment.过继性自然杀伤细胞疗法——多发性骨髓瘤治疗中的希望之光。
Front Oncol. 2023 Nov 3;13:1275076. doi: 10.3389/fonc.2023.1275076. eCollection 2023.
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Bispecific CS1-BCMA CAR-T cells are clinically active in relapsed or refractory multiple myeloma.双特异性 CS1-BCMA CAR-T 细胞在复发或难治性多发性骨髓瘤中具有临床活性。
Leukemia. 2024 Jan;38(1):149-159. doi: 10.1038/s41375-023-02065-x. Epub 2023 Oct 17.
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Survivin Dendritic Cell Vaccine Safely Induces Immune Responses and Is Associated with Durable Disease Control after Autologous Transplant in Patients with Myeloma.生存素树突状细胞疫苗在骨髓瘤患者自体移植后可安全诱导免疫反应并与持久的疾病控制相关。
Clin Cancer Res. 2023 Nov 14;29(22):4575-4585. doi: 10.1158/1078-0432.CCR-22-3987.
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Systematic single amino acid affinity tuning of CD229 CAR T cells retains efficacy against multiple myeloma and eliminates on-target off-tumor toxicity.系统性地单一氨基酸亲和力调谐 CD229 CAR T 细胞保留了对多发性骨髓瘤的疗效,并消除了针对肿瘤的脱靶毒性。
Sci Transl Med. 2023 Jul 19;15(705):eadd7900. doi: 10.1126/scitranslmed.add7900.
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Randomized Phase II Trial of Dendritic Cell/Myeloma Fusion Vaccine with Lenalidomide Maintenance after Upfront Autologous Hematopoietic Cell Transplantation for Multiple Myeloma: BMT CTN 1401.随机Ⅱ期临床试验:树突状细胞/骨髓瘤融合疫苗联合来那度胺维持治疗,用于多发性骨髓瘤患者自体造血干细胞移植后巩固治疗:BMT CTN 1401。
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Targeting B Cell Maturation Antigen in Patients with Multiple Myeloma: Current Perspectives.靶向多发性骨髓瘤患者中的B细胞成熟抗原:当前观点
Onco Targets Ther. 2023 Jun 20;16:441-464. doi: 10.2147/OTT.S370880. eCollection 2023.
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Ciltacabtagene autoleucel for the treatment of multiple myeloma.西达基奥仑赛用于治疗多发性骨髓瘤。
Drugs Today (Barc). 2023 Jan;59(1):1-16. doi: 10.1358/dot.2023.59.1.3509751.
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Signal Transduct Target Ther. 2023 Jan 6;8(1):9. doi: 10.1038/s41392-022-01270-x.