Progress in targeted therapy for high-risk diffuse large B cell lymphoma

Jiaxun Guo
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Abstract

Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of adult lymphoma and is a group of invasive and heterogeneous diseases. Although rituximab in combination with CHOP regimen (R-CHOP) for DLBCL is better, one third of patients have relapsed/refractory conditions. DLBCL is divided into many subtypes due to its high heterogeneity. Different histological types have different response to treatment. High-risk DLBCL has little effect on R-CHOP treatment. How to further improve the first-line cure rate of high-risk DLBCL has become an important challenge in the field of lymphoma treatment. Currently in the era of precision medicine, in recent years, many new targeted drugs, such as immunosuppressive agents, mammalian target of rapamycin (mTOR) receptor inhibitors and Bruton tyrosine kinase (BTK) inhibitors, have been developed for DLBCL-related pathways and molecular targets, provide more new possibilities for the treatment of DLBCL. Key words: Lymphoma, large B-cell, diffuse; Targeted therapy; Review
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高危弥漫性大B细胞淋巴瘤的靶向治疗进展
弥漫性大b细胞淋巴瘤(DLBCL)是成人淋巴瘤最常见的亚型,是一组侵袭性和异质性疾病。虽然利妥昔单抗联合CHOP方案(R-CHOP)治疗DLBCL更好,但三分之一的患者有复发/难治性疾病。DLBCL因其异质性高,可分为多个亚型。不同的组织学类型对治疗有不同的反应。高危大肝癌R-CHOP治疗效果不明显。如何进一步提高高危DLBCL的一线治愈率,已成为淋巴瘤治疗领域的重要挑战。目前在精准医疗时代,近年来针对DLBCL相关通路和分子靶点,开发出免疫抑制剂、哺乳动物雷帕霉素靶蛋白(mTOR)受体抑制剂、布鲁顿酪氨酸激酶(BTK)抑制剂等许多新的靶向药物,为DLBCL的治疗提供了更多新的可能。关键词:淋巴瘤,大b细胞,弥漫性;靶向治疗;审查
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中国医师杂志
中国医师杂志 Medicine-Medicine (all)
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