摘要
在过去的十年中,我们对免疫系统和癌细胞之间相互作用的进一步了解,致使实体和血液恶性肿瘤临床治疗的范式转变。然而,将免疫靶向策略纳入急性髓系白血病(AML)的治疗方案一直具有挑战性。虽然部分原因是由于免疫系统无法对AML的异质性产生有效的肿瘤特异性免疫原性反应,但AML细胞免疫原性的降低也是设计有效免疫治疗策略的一个主要障碍。事实上,AML细胞已经被证明使用复杂的逃避机制来逃避消除,如直接免疫抑制自然杀伤细胞和降低表面受体表达导致免疫系统识别受损。然而,细胞和体液免疫反应对肿瘤相关抗原(TAA)已报告的急性白血病细胞同种异体干细胞移植的成功和单克隆抗体治疗AML显然提供了证明免疫治疗这种疾病的管理方法是可行的。本文综述了AML患者细胞免疫治疗的最新进展和持续的挑战。
关键词: 癌症疫苗,急性髓系白血病,药物开发,自然杀伤细胞,adoptive T cell
图形摘要
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