异体造血干细胞移植后的维持治疗。

Goichi Yoshimoto, Toshihiro Miyamoto
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引用次数: 1

摘要

同种异体造血干细胞移植(Allogeneic hematopoietic stem cell transplantation, alloo - hsct)提高了恶性血液病患者的生存率,尤其是那些复发风险很高的患者。然而,同种异体造血干细胞移植后疾病复发仍然是治疗失败和死亡的最常见原因,即使采用常规化疗和供体淋巴细胞输注。同种异体造血干细胞移植的疾病复发可以通过基于可测量的残留疾病的预防性治疗和对复发高风险患者的维持治疗作为有希望的治疗策略来减少。近年来,新型药物和细胞疗法的发展具有高抗肿瘤活性和低毒性,可用于移植后环境,增加了它们在治疗方法中的临床应用。这篇综述探讨了维持治疗的现状和未来策略,主要针对同种异体造血干细胞移植后的AML和ALL。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Maintenance therapy after allogeneic hematopoietic stem cell transplantation].

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) has improved survival for patients with hematological malignancy, especially for those highly at risk of relapse. However, disease relapse after allo-HSCT remains the most common cause of treatment failure and death, even with conventional chemotherapy and donor lymphocyte infusion. Disease relapse in allo-HSCT can be reduced via pre-emptive treatment based on measurable residual disease and maintenance therapy for patients at high risk of relapse as promising treatment strategies. Recently, the development of novel agents and cellular therapies with high antitumor activity and less toxicity, which can be used in the post-transplant setting, has increased their clinical applications in the therapeutic approach. This review examines the current landscape and future strategies for maintenance therapy, mainly for AML and ALL after allo-HSCT.

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