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Interferon-alpha-based immunotherapies in the treatment of B cell-derived hematologic neoplasms in today's treat-to-target era.

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机构: [1]LeBow Institute for Myeloma Therapeutics and Jerome Lipper Center for Mul‑tiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School,Boston, MA, USA [2]Department of Hematology, West China Hospital, SichuanUniversity, Chengdu, Sichuan, China [3]UCD School of Medicine, Collegeof Health and Agricultural Science, Belfeld, Dublin, Ireland [4]UCD ConwayInstitute of Biomolecular and Biomedical Research, University College Dublin,UCD, Belfeld, Dublin, Ireland [5]State Key Laboratory of Experimental Hematol‑ogy, Institute of Hematology & Blood Diseases Hospital, Chinese Academyof Medical Science & Peking Union Medical College, Tianjin, China
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关键词: Interferon-alpha CD38 CD20 Lymphoma Multiple myeloma Targeted therapy Bone marrow microenvironment

摘要:
B cell lymphoma and multiple myeloma (MM) are the most common hematological malignancies which benefit from therapeutic monoclonal antibodies (mAbs)-based immunotherapies. Despite significant improvement on patient outcome following the use of novel therapies for the past decades, curative treatment is unavailable for the majority of patients. For example, the 5-year survival of MM is currently less than 50%. In the 1980s, interferon-α was used as monotherapy in newly diagnosed or previously treated MM with an overall response rate of 15-20%. Noticeably, a small subset of patients who responded to long-term interferon-α further achieved sustained complete remission. Since 1990, interferon-α-containing regimens have been used as a central maintenance strategy for patients with MM. However, the systemic administration of interferon-α was ultimately limited by its pronounced toxicity. To address this, the selective mAb-mediated delivery of interferon-α has been developed to enhance specific killing of MM and B-cell malignant cells. As such, targeted interferon-α therapy may improve therapeutic window and sustain responses, while further overcoming suppressive microenvironment. This review aims to reinforce the role of interferon-α by consolidating our current understanding of targeting interferon-α with tumor-specific mAbs for B cell lymphoma and myeloma.

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大类 | 1 区 医学
小类 | 2 区 血液学 2 区 肿瘤学
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第一作者机构: [1]LeBow Institute for Myeloma Therapeutics and Jerome Lipper Center for Mul‑tiple Myeloma Center, Dana-Farber Cancer Institute, Harvard Medical School,Boston, MA, USA [2]Department of Hematology, West China Hospital, SichuanUniversity, Chengdu, Sichuan, China
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