中国药房2024,Vol.35Issue(7) :886-889.DOI:10.6039/j.issn.1001-0408.2024.07.21

免疫治疗在复发/难治性急性B淋巴细胞白血病中的应用

Application of immunotherapy in relapsed/refractory B-cell acute lymphoblastic leukemia

初琪慧 高彤 曲素欣 闫美兴
中国药房2024,Vol.35Issue(7) :886-889.DOI:10.6039/j.issn.1001-0408.2024.07.21

免疫治疗在复发/难治性急性B淋巴细胞白血病中的应用

Application of immunotherapy in relapsed/refractory B-cell acute lymphoblastic leukemia

初琪慧 1高彤 2曲素欣 1闫美兴1
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作者信息

  • 1. 青岛大学附属妇女儿童医院药学部,山东 青岛 266034
  • 2. 青岛大学附属医院药学部,山东青岛 266003
  • 折叠

摘要

免疫治疗作为一种新兴的治疗方法,被证实能够改善复发/难治性急性B淋巴细胞白血病(B-ALL)患者的预后,具有良好的应用前景.其中,嵌合抗原受体修饰的T细胞免疫疗法(CAR-T)和单克隆抗体免疫疗法显示出巨大的应用潜力,多款药物已被批准上市.本文对上述两种疗法治疗复发/难治性B-ALL的临床应用情况进行归纳总结,得出CAR-T是一种个体化免疫疗法,理想靶标的选择是其发挥作用的重要环节,目前其临床研究中理想的靶点包括CD19、CD22、CD19/CD22;单克隆抗体主要包括博纳吐单抗和奥加伊妥珠单抗,其对复发/难治性B-ALL显示出良好的疗效.免疫治疗比常规化疗显示出更优异的治疗效果,拓宽了复发/难治性B-ALL治疗方案的选择面.

Abstract

Immunotherapy,as an emerging treatment method,has been proven to improve the prognosis of patients with relapsed/refractory B-cell acute lymphoblastic leukemia(B-ALL)and has good application prospects.Immunotherapy,including chimeric antigen receptor T cell immunotherapy(CAR-T)and monoclonal antibodies,has shown great potential for application,and has been approved for marketing.This article summarizes the application of the above two therapies in the treatment of relapsed/refractory B-ALL,and concludes that CAR-T is a kind of personalized immunotherapy,and the selection of ideal targets is an important part of its action.Currently,the ideal targets in clinical studies include CD19,CD22 and CD19/CD22.Monoclonal antibodies,including blinatumomab and inotuzumab ozogamicin,have shown superior therapeutic efficacy for relapsed/refractory B-ALL.Immunotherapy has shown superior therapeutic effects compared to conventional chemotherapy,expanding the selection of treatment options for relapsed/refractory B-ALL.

关键词

复发/难治性急性B淋巴细胞白血病/免疫治疗/CAR-T疗法/单克隆抗体

Key words

relapsed/refractory B-cell acute lymphoblastic leukemia/immunotherapy/CAR-T therapy/monoclonal antibodies

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基金项目

山东省药品临床综合评价项目(2022YZ021)

出版年

2024
中国药房
中国医院协会,中国药房杂志社

中国药房

CSTPCD北大核心
影响因子:0.956
ISSN:1001-0408
参考文献量33
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