T细胞性急性淋巴细胞白血病的特异性免疫治疗及靶向基因治疗研究进展

Research Progress of Specific Immunotherapy and Targeted Gene Therapy on T-cell Acute Lymphoblastic Leukemia

T细胞性急性淋巴细胞白血病(T-ALL)预后差,易早期复发,寻找安全有效的治疗手段成为临床研究热点。特异性免疫治疗及靶向基因治疗克服了传统化疗药物的非靶向性,为解决化疗对正常细胞和机体损伤较大的问题提供了可能。本文对Campath-1H、Dachzumab、抗原特异性细胞毒性T细胞(CTL)等特异性免疫治疗及阻断Lmo2基因、FMS样酪氨酸激酶-3(FLT3)、Bcl-2相互作用的细胞凋亡调节因子(Bim)和Notch1等靶向基因治疗T-ALL进行综述,阐述其抗T-ALL细胞的作用机制和相关临床试验,为T-ALL的治疗提供参考和新的研究思路。

T-cell acute lymphoblastic leukemia（ T-ALL） has poor prognosis and early relapse,which makes it a research hotspot to find safe and effective therapies. Specific immunotherapy and targeted gene therapy have the superiority of killing T-ALL cells without injuring normal cells and body compared with the traditional chemotherapy drugs. The article made a review of specific immunotherapy,such as Campath-1H,Dachzumab and CTL,and targeted gene therapy,such as blocking Lmo2,FLT3, Bim and Notch1 on T-ALL and illustrated the mechanism and relevant clinical trials, in order to provide a reference for the treatment of T-ALL and new thoughts for relevant research.