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双特异性抗体在多发性骨髓瘤治疗中的研究进展

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多发性骨髓瘤(MM)是一种难以治愈的恶性浆细胞疾病,其发病率逐年增加,免疫调节剂、蛋白酶体抑制剂、抗CD38抗体、CAR-T、造血干细胞移植的应用明显改善了 MM患者的预后,对于传统方案治疗后复发/难治的患者,需开发新的治疗手段改善其预后.双特异性抗体是一种新型免疫治疗方法,通过结合恶性浆细胞和细胞毒性免疫效应细胞(T细胞/NK细胞)上的靶标产生免疫突触,导致T/NK细胞活化和恶性浆细胞裂解.多项临床前及Ⅰ期临床研究显示出良好的疗效,为复发/难治MM患者带来新的希望,未来与其他治疗方案联合可改善患者的预后.本文总结了近年来开发的双特异性抗体的分类、临床前及临床实验结果,为治疗MM提供参考.
Research Progress of Bispecific Antibodies in Treatment of Multi-ple Myeloma——Review
Multiple myeloma(MM)is an incurable malignant plasma cell diseases,the incidence of which is increasing year by year.The application of immunomodulators drugs,proteasome inhibitors,anti-CD38 antibodies,CAR-T,and HSCT have significantly improved the prognosis of patients with MM,however new therapeutic tools need to be developed to improve the prognosis of patients with relapsed/refractory after conventional regimens treatment.Bispecific antibodies are a novel immunotherapeutic approach that generates immune synapses by binding to targets on malignant plasma cells and cytotoxic immune effector cells(T cells/natural killer cells),leading to T/NK cells activation and malignant plasma cell lysis.Several preclinical and phase Ⅰ clinical studies have shown good efficacy,bringing new possibilities for patients with relapsed/refractory MM to improve their prognosis in the future in combination with the rest of the treatment options.This article summarizes the classification of bispecific antibodies developed in recent years,and the results of preclinical and clinical trials,which will provide some reference for treating MM.

multiple myelomabispecific antibodiesimmunotherapy

韩帆、张雪鹏、席亚明

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兰州大学第一临床医学院

兰州大学第一医院血液科,甘肃兰州 730000

多发性骨髓瘤 双特异性抗体 免疫治疗

2024

中国实验血液学杂志
中国病理生理学会

中国实验血液学杂志

CSTPCD北大核心
影响因子:0.988
ISSN:1009-2137
年,卷(期):2024.32(3)
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