Immunotherapy for acute myeloid leukemia: from allogeneic stem cell transplant to novel therapeutics.

Abstract:

:Immunotherapy in the form of allogeneic stem cell transplantation (SCT) plays an instrumental role in the treatment of acute myeloid leukemia (AML), with non-transplant modalities of immunotherapy including checkpoint blockade now being actively explored. Here, we provide an overview of the graft versus leukemia (GVL) effect in AML as a window into understanding the prospects of AML immunotherapy. We explore the roles of various cell types in orchestrating anti-leukemic immunity, as well as those contributing to the unique immune suppressive state of myeloid diseases. We discuss specific approaches to engage the immune system, while noting the challenges of the AML antigen landscape and the barriers to immune modulation. We review the potential for immunomodulatory agents in combination with cellular therapies, donor lymphocyte infusion, and following SCT. Finally, to address the challenge of minimal residual disease (MRD) following chemotherapy, we propose combination epigenetic and immunotherapy for the eradication of MRD.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Knorr DA,Goldberg AD,Stein EM,Tallman MS

doi

10.1080/10428194.2019.1639167

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

3350-3362

issue

14

eissn

1042-8194

issn

1029-2403

journal_volume

60

pub_type

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