t细胞参与多发性骨髓瘤:临床回顾。

IF 3.9 Q2 ONCOLOGY
Blood and Lymphatic Cancer-Targets and Therapy Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI:10.2147/BLCTT.S492116
Ahmad Al-Jarrad, Samhar Samer Alouch, Yogesh Chawla, Wilson I Gonsalves
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引用次数: 0

摘要

t细胞接合物(TCEs)被设计成结合t细胞上的CD3亚基和肿瘤细胞上的特异性抗原,触发t细胞活化和肿瘤细胞裂解。靶向b细胞成熟抗原(BCMA)和g蛋白偶联受体,C类,5组,成员D (GPRC5D)的TCEs在重度预处理的复发/难治性多发性骨髓瘤(RRMM)患者中显示出显著的临床活性。作为单一疗法,TCEs的总缓解率(orr)超过60%,具有深度和持久的血液学反应。常见的毒性包括细胞因子释放综合征(CRS)、感染和靶外肿瘤效应。正在进行的研究旨在提高tce的疗效和耐受性,使下一代产品在治疗MM患者中发挥更大的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
T-Cell Engagers In Multiple Myeloma: A Clinical Review.

T-cell engagers (TCEs) are engineered to bind both the CD3 subunit on T-cells and specific antigens on tumor cells, triggering T-cell activation and tumor cell lysis. TCEs targeting B-cell maturation antigen (BCMA) and G-protein-coupled receptor, class C, group 5, member D (GPRC5D) have demonstrated significant clinical activity in heavily pretreated patients with relapsed/refractory multiple myeloma (RRMM). As a monotherapy, TCEs have had overall response rates (ORRs) of over 60%, with deep and durable hematological responses. Common toxicities include cytokine release syndrome (CRS), infections, and on-target off-tumor effects. Ongoing research looks to enhance the efficacy and tolerability of TCEs for the next generation of products to play an even bigger role in treating patients with MM.

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来源期刊
自引率
7.10%
发文量
16
审稿时长
16 weeks
期刊介绍: Blood and Lymphatic Cancer: Targets and Therapy is an international, peer reviewed, open access journal focusing on blood and lymphatic cancer research, identification of therapeutic targets, and the optimal use of preventative and integrated treatment interventions to achieve improved outcomes, enhanced survival, and quality of life for the cancer patient. Specific topics covered in the journal include: Epidemiology, detection and screening Cellular research and biomarkers Identification of biotargets and agents with novel mechanisms of action Optimal clinical use of existing anticancer agents, including combination therapies Radiation, surgery, bone marrow transplantation Palliative care Patient adherence, quality of life, satisfaction Health economic evaluations.
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