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Advances and challenges of immunotherapies in NK/T cell lymphomas
iScience ( IF 4.6 ) Pub Date : 2023-10-12 , DOI: 10.1016/j.isci.2023.108192 Ling He 1 , Na Chen 2, 3 , Lei Dai 2 , Xingchen Peng 1
iScience ( IF 4.6 ) Pub Date : 2023-10-12 , DOI: 10.1016/j.isci.2023.108192 Ling He 1 , Na Chen 2, 3 , Lei Dai 2 , Xingchen Peng 1
Affiliation
Natural killer (NK)/T cell lymphoma (NKTCL) is a rare subtype of Epstein-Barr virus (EBV)-associated non-Hodgkin lymphoma characterized by poor clinical outcomes. It is more common in East Asian and Latin American countries. Despite the introduction of asparaginase/pegaspargase-based chemotherapy, the prognosis of patients with advanced NKTCL needs to be improved, and few salvage treatment options are available for relapsed/refractory patients who fail chemotherapy. Although many unknowns remain, novel treatment strategies to further improve outcomes are urgently needed. Immunotherapy has emerged and shown favorable antitumor activity in NKTCL, including monoclonal antibodies targeting immune checkpoint inhibitors, other receptors on the cellular membrane, and cellular immunotherapy, which could enhance immune cells attack on tumor cells. In this review, we provide an overview of recent immunotherapy in NKTCL, focusing on programmed cell death-1 (PD-1)/programmed cell death-ligand 1 (PD-L1), cytotoxic T lymphocyte-associated protein 4 (CTLA-4), chimeric antigen receptor (CAR) T cells, EBV-specific cytotoxic T lymphocytes, immunomodulatory agents, and other targeted agents, as well as the current progress and challenges in the field.
中文翻译:
NK/T细胞淋巴瘤免疫治疗的进展与挑战
自然杀伤 (NK)/T 细胞淋巴瘤 (NKTCL) 是 Epstein-Barr 病毒 (EBV) 相关非霍奇金淋巴瘤的一种罕见亚型,其特征是临床结果不佳。在东亚和拉丁美洲国家更为常见。尽管引入了基于天冬酰胺酶/培门冬酶的化疗,但晚期 NKTCL 患者的预后仍需改善,而对于化疗失败的复发/难治性患者,几乎没有挽救性治疗选择。尽管仍有许多未知因素,但迫切需要新的治疗策略来进一步改善结果。免疫疗法已经出现,并在 NKTCL 中显示出良好的抗肿瘤活性,包括针对免疫检查点抑制剂、细胞膜上其他受体的单克隆抗体,以及可以增强免疫细胞对肿瘤细胞攻击的细胞免疫疗法。在这篇综述中,我们概述了 NKTCL 的最新免疫治疗,重点关注程序性细胞死亡 1 (PD-1)/程序性细胞死亡配体 1 (PD-L1)、细胞毒性 T 淋巴细胞相关蛋白 4 (CTLA-4) )、嵌合抗原受体(CAR)T细胞、EBV特异性细胞毒性T淋巴细胞、免疫调节剂和其他靶向药物,以及该领域当前的进展和挑战。
更新日期:2023-10-12
中文翻译:
NK/T细胞淋巴瘤免疫治疗的进展与挑战
自然杀伤 (NK)/T 细胞淋巴瘤 (NKTCL) 是 Epstein-Barr 病毒 (EBV) 相关非霍奇金淋巴瘤的一种罕见亚型,其特征是临床结果不佳。在东亚和拉丁美洲国家更为常见。尽管引入了基于天冬酰胺酶/培门冬酶的化疗,但晚期 NKTCL 患者的预后仍需改善,而对于化疗失败的复发/难治性患者,几乎没有挽救性治疗选择。尽管仍有许多未知因素,但迫切需要新的治疗策略来进一步改善结果。免疫疗法已经出现,并在 NKTCL 中显示出良好的抗肿瘤活性,包括针对免疫检查点抑制剂、细胞膜上其他受体的单克隆抗体,以及可以增强免疫细胞对肿瘤细胞攻击的细胞免疫疗法。在这篇综述中,我们概述了 NKTCL 的最新免疫治疗,重点关注程序性细胞死亡 1 (PD-1)/程序性细胞死亡配体 1 (PD-L1)、细胞毒性 T 淋巴细胞相关蛋白 4 (CTLA-4) )、嵌合抗原受体(CAR)T细胞、EBV特异性细胞毒性T淋巴细胞、免疫调节剂和其他靶向药物,以及该领域当前的进展和挑战。