国际肿瘤学杂志 ›› 2021, Vol. 48 ›› Issue (7): 385-388.doi: 10.3760/cma.j.cn371439-20200923-00075

• 党为人民谋健康的100年 •    下一篇

EB病毒阳性弥漫大B细胞淋巴瘤的治疗

郭奕维, 刘爱春()   

  1. 哈尔滨医科大学附属肿瘤医院血液淋巴内科 150081
  • 收稿日期:2020-09-23 修回日期:2020-10-05 出版日期:2021-07-08 发布日期:2021-07-26
  • 通讯作者: 刘爱春 E-mail:aichun2002@hotmail.com
  • 基金资助:
    黑龙江省省院科技合作项目(YS17C19)

Treatment of EB virus positive diffuse large B cell lymphoma

Guo Yiwei, Liu Aichun()   

  1. Department of Hematology and Lymphology, Affiliated Tumor Hospital of Harbin Medical University, Harbin 150081, China
  • Received:2020-09-23 Revised:2020-10-05 Online:2021-07-08 Published:2021-07-26
  • Contact: Liu Aichun E-mail:aichun2002@hotmail.com
  • Supported by:
    Science and Technology Cooperation Project of Heilongjiang Provincial Academy(YS17C19)

摘要:

EB病毒(EBV)阳性弥漫大B细胞淋巴瘤(DLBCL)是与慢性EBV感染相关的一类罕见的B细胞淋巴瘤。主要为活化B细胞亚型,具有侵袭性,对联合化疗的反应较EBV阴性患者差,预后不良。随着对EBV阳性DLBCL发病机制、生物学特征的研究不断深入,新型治疗策略不断出现,如抗病毒治疗、单克隆抗体、信号通路抑制剂以及包括细胞免疫疗法和免疫检查点抑制剂在内的免疫疗法,这些新的治疗策略能够提高疗效,并减少不良反应的发生。

关键词: 疱疹病毒4型,人, 淋巴瘤,大B细胞,弥漫性, 抗体,单克隆, 免疫疗法

Abstract:

Epstein-Barr virus (EBV) positive diffuse large B cell lymphoma (DLBCL) is a rare type of B cell lymphoma associated with chronic EBV infection. The main subtype is activated B cell-like and it's invasive. The response to combined chemotherapy is worse than that of EBV negative patients, and the prognosis is poor. As the researches on pathogenesis and biological characteristics of EBV positive DLBCL deepen, new therapeutic strategies are emerging, such as antiviral therapy, monoclonal antibody, inhibitors of signaling pathway and immunotherapy including cellular immunotherapy and immune checkpoint inhibitor. These new therapeutic strategies can improve the efficacy and reduce the occurrence of adverse reactions.

Key words: Herpesvirus 4,human, Lymphomalarge B-cell,diffuse, Antibodies,monoclonal, Immunotherapy