Inoue Yoshitaka, Yasunaga Jun-Ichirou
Blood and Marrow Transplant Program, Division of Hematology and Oncology, Penn State Cancer Institute, Hershey, PA 17033, USA.
Cancer Institute, Penn State College of Medicine, Hershey, PA 17033, USA.
Cells. 2025 Aug 23;14(17):1306. doi: 10.3390/cells14171306.
T-cell lymphomas (TCLs) are generally associated with a poorer prognosis compared to B-cell lymphomas, and allogeneic hematopoietic cell transplantation (allo-HCT) is often considered for eligible patients. One of the primary reasons for the inferior outcomes in TCLs has been the lack of effective novel agents for many years, resulting in a continued reliance on traditional cytotoxic chemotherapy regimens. However, over the past decade, several novel agents with promising efficacy against TCLs have been developed. Notably, many of these agents not only exert direct anti-tumor effects but also modulate host immune function, raising clinical questions regarding the optimal integration of these agents with allo-HCT. In this review, we aim to summarize how the use of novel agents that are approved for the treatment of TCLs-such as mogamulizumab, brentuximab vedotin, lenalidomide, histone deacetylase inhibitors, enhancer of zeste homolog inhibitors, and immune checkpoint inhibitors-before or after allo-HCT may impact transplantation outcomes in patients with TCLs.
与B细胞淋巴瘤相比,T细胞淋巴瘤(TCLs)的预后通常较差,符合条件的患者常考虑进行异基因造血细胞移植(allo-HCT)。多年来,TCLs疗效较差的主要原因之一是缺乏有效的新型药物,导致持续依赖传统的细胞毒性化疗方案。然而,在过去十年中,已经开发出几种对TCLs有显著疗效的新型药物。值得注意的是,其中许多药物不仅具有直接抗肿瘤作用,还能调节宿主免疫功能,这就引发了关于这些药物与allo-HCT最佳联合使用的临床问题。在这篇综述中,我们旨在总结在allo-HCT之前或之后使用已获批用于治疗TCLs的新型药物,如莫加莫拉单抗、本妥昔单抗、来那度胺、组蛋白去乙酰化酶抑制剂、EZH2抑制剂和免疫检查点抑制剂,如何影响TCLs患者的移植结局。