Immunotherapy in chronic lymphocytic leukemia: advances and challenges

Abstract Chronic lymphocytic leukemia (CLL) is characterized as a clonal proliferation of mature B lymphocytes with distinct immunophenotypic traits, predominantly affecting the middle-aged and elderly population. This condition is marked by an accumulation of lymphocytes within the peripheral blood...

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Main Authors: Pan Gao, Yang Zhang, Jun Ma, Ya Zhang
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Experimental Hematology & Oncology
Subjects:
Online Access:https://doi.org/10.1186/s40164-025-00644-5
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author Pan Gao
Yang Zhang
Jun Ma
Ya Zhang
author_facet Pan Gao
Yang Zhang
Jun Ma
Ya Zhang
author_sort Pan Gao
collection DOAJ
description Abstract Chronic lymphocytic leukemia (CLL) is characterized as a clonal proliferation of mature B lymphocytes with distinct immunophenotypic traits, predominantly affecting the middle-aged and elderly population. This condition is marked by an accumulation of lymphocytes within the peripheral blood, bone marrow, spleen, and lymph nodes. The associated immune dysregulation predisposes CLL patients to a higher risk of secondary malignancies and infections, which significantly contribute to morbidity and mortality rates. The advent of immunotherapy has revolutionized the prognosis of CLL, advancing treatment modalities and offering substantial benefits to patient outcomes. This review endeavors to synthesize and scrutinize the efficacy, merits, and limitations of the current immunotherapeutic strategies for CLL. The aim is to inform the selection of optimal treatment regimens tailored to individual patient needs. Furthermore, the review juxtaposes various therapeutic combinations to elucidate the comparative advantages of each approach, with the ultimate objective of enhancing patient prognosis and quality of life.
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language English
publishDate 2025-04-01
publisher BMC
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series Experimental Hematology & Oncology
spelling doaj-art-e21db9a504bb43df938d3116451b0f5e2025-08-20T03:10:11ZengBMCExperimental Hematology & Oncology2162-36192025-04-0114112410.1186/s40164-025-00644-5Immunotherapy in chronic lymphocytic leukemia: advances and challengesPan Gao0Yang Zhang1Jun Ma2Ya Zhang3Department of Hematology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Hematology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Hematology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Hematology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityAbstract Chronic lymphocytic leukemia (CLL) is characterized as a clonal proliferation of mature B lymphocytes with distinct immunophenotypic traits, predominantly affecting the middle-aged and elderly population. This condition is marked by an accumulation of lymphocytes within the peripheral blood, bone marrow, spleen, and lymph nodes. The associated immune dysregulation predisposes CLL patients to a higher risk of secondary malignancies and infections, which significantly contribute to morbidity and mortality rates. The advent of immunotherapy has revolutionized the prognosis of CLL, advancing treatment modalities and offering substantial benefits to patient outcomes. This review endeavors to synthesize and scrutinize the efficacy, merits, and limitations of the current immunotherapeutic strategies for CLL. The aim is to inform the selection of optimal treatment regimens tailored to individual patient needs. Furthermore, the review juxtaposes various therapeutic combinations to elucidate the comparative advantages of each approach, with the ultimate objective of enhancing patient prognosis and quality of life.https://doi.org/10.1186/s40164-025-00644-5Chronic lymphocytic leukemiaImmunotherapyAntibodyImmune cellCombination therapy
spellingShingle Pan Gao
Yang Zhang
Jun Ma
Ya Zhang
Immunotherapy in chronic lymphocytic leukemia: advances and challenges
Experimental Hematology & Oncology
Chronic lymphocytic leukemia
Immunotherapy
Antibody
Immune cell
Combination therapy
title Immunotherapy in chronic lymphocytic leukemia: advances and challenges
title_full Immunotherapy in chronic lymphocytic leukemia: advances and challenges
title_fullStr Immunotherapy in chronic lymphocytic leukemia: advances and challenges
title_full_unstemmed Immunotherapy in chronic lymphocytic leukemia: advances and challenges
title_short Immunotherapy in chronic lymphocytic leukemia: advances and challenges
title_sort immunotherapy in chronic lymphocytic leukemia advances and challenges
topic Chronic lymphocytic leukemia
Immunotherapy
Antibody
Immune cell
Combination therapy
url https://doi.org/10.1186/s40164-025-00644-5
work_keys_str_mv AT pangao immunotherapyinchroniclymphocyticleukemiaadvancesandchallenges
AT yangzhang immunotherapyinchroniclymphocyticleukemiaadvancesandchallenges
AT junma immunotherapyinchroniclymphocyticleukemiaadvancesandchallenges
AT yazhang immunotherapyinchroniclymphocyticleukemiaadvancesandchallenges