Novel Immunotherapies for Multiple Myeloma.

Novel Immunotherapies for Multiple Myeloma.
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DOI:
10.1007/s11899-017-0397-7
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发表时间:
2017-08
影响因子:
2.9
通讯作者:
Smith EL
Smith EL
中科院分区:
医学3区
文献类型:
--
作者:
D'Agostino M;Boccadoro M;Smith EL

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多发性骨髓瘤的治疗格局正在迅速变化;然而,尽管患者的生存率有所改善,但它仍然是一种基本上无法治愈的疾病。骨髓瘤的标志之一是严重的免疫功能障碍,导致感染率增加以及免疫监视无法检测肿瘤细胞。在这里,我们批判性地分析了利用免疫系统克服这一缺陷的临床方法,重点是基于抗体和过继性细胞疗法。探索这些免疫疗法治疗骨髓瘤的临床试验目前正在顺利进行,并显示出有希望的结果。在复发性骨髓瘤中,针对浆细胞抗原和免疫检查点的单克隆抗体已经显示出显着的疗效。与此同时,过继细胞疗法的试验在骨髓瘤中具有令人兴奋的前景,在少数早期研究参与者中引起了巨大的反应。总的来说,免疫治疗方法在多发性骨髓瘤领域具有巨大的潜力,并且在不久的将来可以与当前的治疗标准相结合甚至取代当前的治疗标准。
The treatment landscape of multiple myeloma is rapidly changing; however, despite improvement in patients’ survival, it still remains a largely incurable disease. One hallmark of myeloma is substantial immune dysfunction leading to an increased infection rate and the inability of immune surveillance to detect neoplastic cells. Here, we critically analyze clinical approaches to harness the immune system to overcome this defect with a focus on antibody based and adoptive cellular therapies. Clinical trials exploring these immunother-apies to treat myeloma are now well underway and show promising results. In relapsed myeloma, monoclonal antibodies directed against plasma cell antigens and immune checkpoints have already shown substantial efficacy. In parallel, trials of adoptive cellular therapy have exciting promise in myeloma, having induced dramatic responses in a handful of early study participants. Taken together, immunotherapeutic approaches hold enormous potential in the field of multiple myeloma and in the near future can be combined with or even replace the current standard of care.
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