Department of Hematology, Lymphoma Research Center, Peking University Third Hospital, Beijing, China.
Clin Exp Immunol. 2021 Jul;205(1):1-11. doi: 10.1111/cei.13592. Epub 2021 Mar 28.
Malignant lymphoma (ML) is a common hematological malignancy with many subtypes. Patients with ML usually undergo traditional treatment failure and become relapsed or refractory (R/R) cases. Recently, immunotherapy, such as immune checkpoint inhibitors (ICIs) and cellular treatment, has gradually emerged and used in clinical trials with encouraging achievements for ML treatment, which exerts anti-tumor activity by blocking the immune evasion of tumor cells and enhancing the attack ability of immune cells. Targets of immune checkpoints include programmed cell death-1 (PD-1), programmed cell death-ligand 1 (PD-L1), cytotoxic T lymphocyte-associated protein 4 (CTLA-4), T cell immunoglobulin and ITIM domain (TIGIT), T cell immunoglobulin-3 (TIM-3) and lymphocyte activation gene 3 (LAG-3). Examples of cellular treatment are chimeric antigen receptor (CAR) T cells, cytokine-induced killer (CIK) cells and natural killer (NK) cells. This review aimed to present the current progress and future prospects of immunotherapy in lymphoma, with the focus upon ICIs and cellular treatment.
恶性淋巴瘤(ML)是一种常见的血液系统恶性肿瘤,有许多亚型。ML 患者通常经历传统治疗失败,成为复发或难治性(R/R)病例。近年来,免疫疗法,如免疫检查点抑制剂(ICIs)和细胞治疗,已逐渐在临床试验中崭露头角,并取得了令人鼓舞的成就,为 ML 治疗提供了新的选择。这些疗法通过阻断肿瘤细胞的免疫逃逸和增强免疫细胞的攻击能力发挥抗肿瘤作用。免疫检查点的靶点包括程序性细胞死亡蛋白-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)、T 细胞免疫球蛋白和 ITIM 结构域(TIGIT)、T 细胞免疫球蛋白-3(TIM-3)和淋巴细胞激活基因 3(LAG-3)。细胞治疗的例子有嵌合抗原受体(CAR)T 细胞、细胞因子诱导的杀伤(CIK)细胞和自然杀伤(NK)细胞。本综述旨在介绍淋巴瘤免疫治疗的最新进展和未来前景,重点关注 ICIs 和细胞治疗。