Immune therapy: a new therapy for acute myeloid leukemia

Although complete remission could be achieved in about 60%–70% of acute myeloid leukemia (AML) patients after conventional chemotherapy, relapse and the state of being refractory to treatment remain the main cause of death. In addition, there is a great need for less intensive regimens for all medic...

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Main Authors: Chen Tian, Zehui Chen
Format: Article
Language:English
Published: Wolters Kluwer Health 2023-03-01
Series:Blood Science
Online Access:http://journals.lww.com/10.1097/BS9.0000000000000140
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author Chen Tian
Zehui Chen
author_facet Chen Tian
Zehui Chen
author_sort Chen Tian
collection DOAJ
description Although complete remission could be achieved in about 60%–70% of acute myeloid leukemia (AML) patients after conventional chemotherapy, relapse and the state of being refractory to treatment remain the main cause of death. In addition, there is a great need for less intensive regimens for all medically frail patients (both due to age/comorbidity and treatment-related). Immune therapy anticipates improved prognosis and reduced toxicities, which may offer novel therapeutic rationales. However, one of the major difficulties in developing immune therapies against AML is that the target antigens are also significantly expressed on healthy hematopoietic stem cells; B-cell malignancies are different because CD20/CD19/healthy B-cells are readily replaceable. Only the anti-CD33 antibody-drug conjugate gemtuzumab-ozogamicin is approved by the FDA for AML. Thus, drug development remains extremely active, although it is still in its infancy. This review summarizes the clinical results of immune therapeutic agents for AML, such as antibody-based drugs, chimeric antigen receptor therapy, checkpoint inhibitors, and vaccines.
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spelling doaj.art-374c9821f5c5494e80f4ada853d4837c2023-09-28T07:06:17ZengWolters Kluwer HealthBlood Science2543-63682023-03-0151152410.1097/BS9.0000000000000140202303000-00002Immune therapy: a new therapy for acute myeloid leukemiaChen Tian0Zehui Chen1a Department of Hematology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin’s Clinical Research Center for Cancer, Tianjin, Chinaa Department of Hematology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin’s Clinical Research Center for Cancer, Tianjin, ChinaAlthough complete remission could be achieved in about 60%–70% of acute myeloid leukemia (AML) patients after conventional chemotherapy, relapse and the state of being refractory to treatment remain the main cause of death. In addition, there is a great need for less intensive regimens for all medically frail patients (both due to age/comorbidity and treatment-related). Immune therapy anticipates improved prognosis and reduced toxicities, which may offer novel therapeutic rationales. However, one of the major difficulties in developing immune therapies against AML is that the target antigens are also significantly expressed on healthy hematopoietic stem cells; B-cell malignancies are different because CD20/CD19/healthy B-cells are readily replaceable. Only the anti-CD33 antibody-drug conjugate gemtuzumab-ozogamicin is approved by the FDA for AML. Thus, drug development remains extremely active, although it is still in its infancy. This review summarizes the clinical results of immune therapeutic agents for AML, such as antibody-based drugs, chimeric antigen receptor therapy, checkpoint inhibitors, and vaccines.http://journals.lww.com/10.1097/BS9.0000000000000140
spellingShingle Chen Tian
Zehui Chen
Immune therapy: a new therapy for acute myeloid leukemia
Blood Science
title Immune therapy: a new therapy for acute myeloid leukemia
title_full Immune therapy: a new therapy for acute myeloid leukemia
title_fullStr Immune therapy: a new therapy for acute myeloid leukemia
title_full_unstemmed Immune therapy: a new therapy for acute myeloid leukemia
title_short Immune therapy: a new therapy for acute myeloid leukemia
title_sort immune therapy a new therapy for acute myeloid leukemia
url http://journals.lww.com/10.1097/BS9.0000000000000140
work_keys_str_mv AT chentian immunetherapyanewtherapyforacutemyeloidleukemia
AT zehuichen immunetherapyanewtherapyforacutemyeloidleukemia