Novel Immunotherapies for T Cell Lymphoma and Leukemia.

Novel Immunotherapies for T Cell Lymphoma and Leukemia.
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DOI:
10.1007/s11899-018-0480-8
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发表时间:
2018-12
影响因子:
2.9
通讯作者:
Ruella M
Ruella M
中科院分区:
医学3区
文献类型:
--
作者:
Ghione P;Moskowitz AJ;De Paola NEK;Horwitz SM;Ruella M

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新的免疫疗法,如检查点抑制剂、双特异性和嵌合抗原受体T细胞,在治疗实体瘤和血液系统恶性肿瘤时产生了有希望的反应。T细胞肿瘤包括来源于T细胞的白血病和淋巴瘤。这些都是罕见疾病,临床结果通常很差。本文综述了这些方法治疗T细胞淋巴瘤和白血病的合理性和初步结果。对于T细胞肿瘤,尽管进行了大量的研究,但只有少数药物,如单克隆抗体和同种异体干细胞移植,显示出一些临床活性。靶向T细胞肿瘤的主要障碍之一是激活或消除T细胞,无论是正常的还是肿瘤的,都会引起显著的毒性。需要开发新的安全有效的T细胞肿瘤免疫疗法。在这篇综述中,我们将讨论免疫治疗T细胞白血病和淋巴瘤的基本原理,并介绍最新的治疗方法。
novel immunotherapies such as checkpoint inhibitors, bispecific and chimeric antigen receptor T cells are leading to promising responses when treating solid tumors and hematological malignancies. T cell neoplasms include leukemia and lymphomas that are derived from T cells. These are rare diseases with generally poor clinical outcomes. This review describes the rational and preliminary results of these approaches for people with T cell lymphoma and leukemia. for T cell neoplasms, despite significant research effort, only few agents, such as monoclonal antibodies and allogeneic stem cell transplantation, showed some clinical activity. One of the major hurdles to targeting T cell neoplasms is that activation or elimination of T cells, either normal or neoplastic, can cause significant toxicity. A need to develop novel safe and effective immunotherapies for T cell neoplasms exists. In this review, we will discuss the rationale for immunotherapy of T cell leukemia and lymphoma and present the most recent therapeutic approaches.
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