首页|靶向CD30治疗经典霍奇金淋巴瘤的研究进展

靶向CD30治疗经典霍奇金淋巴瘤的研究进展

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CD30属于肿瘤坏死因子受体超家族的一员,是一种定位在细胞膜上的Ⅰ型跨膜蛋白质.正常情况下CD30仅在部分活化的B淋巴细胞和T淋巴细胞中表达,参与维持机体免疫系统的功能.值得注意的是,CD30在多种淋巴瘤亚群,尤其是经典霍奇金淋巴瘤(classical Hodgkin's lym-phoma,cHL)中高表达.高表达的CD30可通过多种机制影响cHL的进展,例如激活NF-κB、MAPK-ERK信号通路,影响肿瘤微环境等促进cHL肿瘤细胞的增殖和抗凋亡能力.CD30是cHL进展的重要驱动分子,结合它在cHL肿瘤细胞膜上特异性高表达,因此CD30是一个极具潜力的治疗cHL的靶点.CD30抗体偶联药物维布妥昔单抗已被批准用于复发难治性cHL的临床治疗,其临床适应症不断扩大,显著改善了cHL患者的预后.此外,有多项研究正在尝试开发其他靶向CD30(例如CD30单抗、CD30 CAR-T细胞等)治疗cHL的方法,部分临床前研究以及临床试验展示出令人振奋的疗效.该文将综述CD30在cHL中的表达、功能以及靶向CD30治疗cHL的研究进展.
Advances in Targeting CD30 for Classic Hodgkin Lymphoma Therapy
CD30,a member of TNFR(tumor necrosis factor receptor)superfamily,is a type I trans-membrane protein that is localized to cell membrane.CD30 is only expressed in some activated B lymphocytes and T lymphocytes and involved in regulating the function of immune system.However,it is upregulated in a variety of lymphomas,especially in cHL(classical Hodgkin's lymphoma).Highly expressed CD30 promotes cHL progression through various mechanisms,such as activation of NF-κB,MAPK-ERK signaling pathway,and influence of tumor microenvironment to promote the proliferation and anti-apoptosis of cHL tumor cells.As it is highly overexpressed in cHL tumors and promotes disease progression,CD30 is a promising therapeutic target for cHL.BV(Brentuximab vedotin),a kind of CD30 related antibody-drug conjugate,has been approved for the clinical treatment of relapsed/refractory cHL.The clinical indications of BV have been rapidly expanded and significantly improved the prognosis of cHL patients.In addition to BV,several studies are working to develop other CD30-targeted therapies for cHL,such as CD30 monoclonal antibodies and CD30 CAR-T cells.The effec-tiveness of these treatments has confirmed by many preclinical studies and clinical trials.This review will sum-marize the expression and function of CD30 in cHL and cover the advances in targeting CD30 for cHL.

CD30Brentuximab vedotinCAR-THodgkin's lymphomatargeted therapy

罗霞、张文倩、李辉军、邓玲艳

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华中科技大学同济医学院附属同济医院检验科,武汉 430030

细胞分化抗原30 维布妥昔单抗 嵌合抗原受体T细胞 霍奇金淋巴瘤 靶向治疗

2024

中国细胞生物学学报
中国科学院上海生命科学研究院,生物化学与细胞生物学研究所,中国细胞生物学学会

中国细胞生物学学报

CSTPCD
影响因子:0.554
ISSN:1674-7666
年,卷(期):2024.46(5)
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