中国医学前沿杂志(电子版)2024,Vol.16Issue(9) :26-32.DOI:10.12037/YXQY.2024.09-05

自体造血干细胞移植治疗多发性骨髓瘤的进展

Advances of autologous hematopoietic stem cell transplantation for multiple myeloma

高锦宏 高大
中国医学前沿杂志(电子版)2024,Vol.16Issue(9) :26-32.DOI:10.12037/YXQY.2024.09-05

自体造血干细胞移植治疗多发性骨髓瘤的进展

Advances of autologous hematopoietic stem cell transplantation for multiple myeloma

高锦宏 1高大1
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作者信息

  • 1. 内蒙古医科大学附属医院血液内科,内蒙古自治区呼和浩特 010050
  • 折叠

摘要

多发性骨髓瘤是一种血液学恶性肿瘤,在过去的几十年里,大剂量美法仑联合自体造血干细胞移植已成为初治多发性骨髓瘤患者的核心治疗方案.诱导治疗、自体造血干细胞移植以及后续巩固和维持治疗是目前多发性骨髓瘤治疗的基本框架.达雷妥尤单抗等抗CD38单克隆抗体的引入改变了适合移植的多发性骨髓瘤患者的治疗模式,四联疗法成为新的标准诱导治疗.随着强效新型免疫疗法的引入,骨髓瘤的治疗格局正在发生变革性转变.笔者拟对在新药及新疗法时代,自体造血干细胞移植在多发性骨髓瘤中的研究进展进行综述.

Abstract

Multiple myeloma is a hematological malignancy.Over the past few decades,high-dose melphalan followed by autologous hematopoietic stem cell transplantation has emerged as the core component of the first treatment plan for patients with multiple myeloma.Induction therapy,autologous hematopoietic stem cell transplantation,and subsequent consolidation and maintenance therapy are the basic frameworks of multiple myeloma treatment.The introduction of anti-CD38 monoclonal antibodies,such as daratumumab,has altered the treatment paradigm for transplant-eligible patients with multiple myeloma,with quadruple therapy becoming the new standard of care for induction therapy.The treatment landscape for myeloma is undergoing a transformative shift with the advent of powerful new immunotherapies.This article reviews the research advances of autologous hematopoietic stem cell transplantation in multiple myeloma in the era of new drugs and new therapeutics.

关键词

多发性骨髓瘤/自体造血干细胞移植/达雷妥尤单抗/嵌合抗原受体T细胞免疫治疗

Key words

Multiple myeloma/Autologous hematopoietic stem cell transplantation/Daratumumab/Chimeric antigen receptor T cells immuno-therapy

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出版年

2024
中国医学前沿杂志(电子版)
人民卫生出版社有限公司

中国医学前沿杂志(电子版)

CSTPCDCSCD北大核心
影响因子:1.088
ISSN:1674-7372
参考文献量50
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