中国癌症杂志 ›› 2020, Vol. 30 ›› Issue (12): 1035-1040.doi: 10.19401/j.cnki.1007-3639.2020.12.012

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PD-1/PD-L1抑制剂在外周T细胞淋巴瘤治疗中的研究进展#br#

骆 倩 1 ,邹立群 2   

  1. 1. 四川大学华西临床医学院,四川 成都 610041 ;
    2. 四川大学华西医院肿瘤一科,四川 成都 610041
  • 出版日期:2020-12-30 发布日期:2021-01-08
  • 通信作者: 邹立群 E-mail: hxlcyxy@163.com

Research progress of PD-1/PD-L1 inhibitors in the treatment of peripheral T-cell lymphomas

LUO Qian 1 , ZOU Liqun #br#   

  1. 1. West China School of Medicine, Sichuan University, Chengdu 610041, Sichuan Province, China; 2. The First Department of Oncology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Published:2020-12-30 Online:2021-01-08
  • Contact: ZOU Liqun E-mail: hxlcyxy@163.com

摘要: 外周T细胞淋巴瘤(peripheral T-cell lymphoma, PTCL)是一组高度异质性和侵袭性的非霍奇金淋巴瘤(non-Hodgkin’s lymphoma,NHL)。在目前化疗为主的治疗下,PTCL患者通常预后差,复发率高,因此需要积极探索新药来改善预后。肿瘤微环境(tumor microenvironment,TME)在多种肿瘤中发挥重要作用,程序性死亡[蛋白]-1(programmed death-1,PD-1)/程序性死亡[蛋白]配体-1(programmed death ligand-1,PD-L1)信号通路是参与肿瘤免疫逃逸的重要途径之一,针对PD-1/PD-L1通路的抑制剂在多种肿瘤中疗效显著,在PTCL的治疗上也有广阔的应用前景。研究表明在PTCL多种亚型中均有不同程度PD-1/PD-L1的表达,且PD-1单抗在部分亚型中疗效显著。现就PD-1/PD-L1在PTCL中的表达情况和其抑制剂的治疗进展作一综述。

关键词: 外周T细胞淋巴瘤, 程序性死亡受体-1, 程序性死亡配体-1, 免疫检查点

Abstract: Peripheral T-cell lymphomas (PTCLs) are a group of highly heterogeneous and aggressive non-Hodgkin’s lymphoma (NHL). PTCL patients have poor prognosis and high rates of relapse under the current chemotherapy-based treatment. Therefore, new drugs should be developed to improve the prognosis of PTCL. Tumor microenvironment (TME) plays an important role in many tumors. Programmed death-1 (PD-1)/programmed death ligand-1 (PD-L1) signaling pathway is one of the most important pathways involved in tumor immune escape. Inhibitors of the PD-1/PD-L1 pathway have exhibited remarkable effects in the treatment of multiple tumors and have broad application prospects in PTCL. Studies have found varying degrees of expressions of PD-1 and its ligands in multiple PTCL subtypes, and the PD-1 inhibitor has significant efficacy in some subtypes. In this paper, we reviewed the expression of PD-1/PD-L1 in PTCL and the therapeutic role of its inhibitors.

Key words: Peripheral T-cell lymphomas, Programmed death-1, Programmed death ligand-1, Immune checkpoint