[双特异性抗体治疗多发性骨髓瘤的研究进展--综述]。

Fan Han, Xue-Peng Zhang, Ya-Ming Xi
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引用次数: 0

摘要

多发性骨髓瘤(MM)是一种无法治愈的恶性浆细胞疾病,发病率逐年上升。免疫调节剂、蛋白酶体抑制剂、抗CD38抗体、CAR-T和造血干细胞移植等药物的应用大大改善了多发性骨髓瘤患者的预后,但仍需开发新的治疗工具,以改善常规疗法治疗后复发/难治患者的预后。双特异性抗体是一种新型免疫治疗方法,它通过与恶性浆细胞和细胞毒性免疫效应细胞(T 细胞/自然杀伤细胞)上的靶点结合产生免疫突触,导致 T/NK 细胞活化和恶性浆细胞裂解。几项临床前研究和一期临床研究显示了良好的疗效,为复发/难治性 MM 患者带来了新的可能,使他们在未来能与其他治疗方案相结合,改善预后。本文总结了近年来开发的双特异性抗体的分类,以及临床前和临床试验的结果,为治疗MM提供一些参考。
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[Research Progress of Bispecific Antibodies in Treatment of Multiple 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.

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来源期刊
中国实验血液学杂志
中国实验血液学杂志 Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
7331
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