首页|急性白血病异基因造血干细胞移植后的维持治疗研究进展

急性白血病异基因造血干细胞移植后的维持治疗研究进展

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急性白血病(acute leukemia,AL)是来源于造血干细胞的恶性克隆性疾病,分为急性淋巴细胞白血病(acute lymphoblast-ic leukemia,ALL)和急性髓细胞白血病(acute myeloid leukemia,AML)两大类.异基因造血干细胞移植(allogeneic hema-topoietic stem cell transplantation,allo-HSCT)是AL患者获得长期生存有力的手段,但移植后复发仍然是导致其死亡的主要原因.移植前状态、移植预处理、移植后复发防治均影响移植后的复发.目前,有部分患者移植后维持治疗的研究开展,包括表观遗传学药物、靶向药物、免疫药物等移植后维持治疗.本文主要讨论移植后维持治疗与预后的关系,综述近年来急性白血病allo-HSCT后维持治疗的方法、治疗结局和潜在的不良反应.
Research progress on maintenance therapy following allogeneic hematopoietic stem cell transplantation for acute leukemia
Acute leukemia(AL)is a malignant clonal disease caused by hematopoietic stem cells.Depending on the cell type involved,AL is classified as acute lymphoblastic leukemia(ALL)or acute myeloid leukemia(AML).Allogeneic hematopoietic stem cell transplantation(allo-HSCT)is an important and effective treatment for patients with AL to achieve long-term survival.However,recurrence after transplantation remains the primary cause of death.Pretransplantation status,transplantation conditioning,and prevention of post-transplantation relapse affects post-transplantation outcomes.This review focuses on post-transplantation maintenance therapy.Several studies on post-trans-plantation maintenance therapy are discussed,including research on post-transplantation maintenance therapy with epigenetic drugs,tar-geted drugs,and immunologic drugs.

acute leukemia(AL)allogeneic hematopoietic stem cell transplantation(allo-HSCT)maintenance therapytargeted ther-apyimmunotherapy

杨楚婷、郑雅龄、吴明、黄睿

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南方医科大学珠江医院血液内科(广州市 510282)

急性白血病 异基因造血干细胞移植 维持治疗 靶向治疗 免疫治疗

2024

中国肿瘤临床
中国抗癌协会

中国肿瘤临床

CSTPCD北大核心
影响因子:1.32
ISSN:1000-8179
年,卷(期):2024.51(12)
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