在接受CAR T细胞治疗的患者中感染并发症的概述
Swarn Arya1, Zainab Shahid1,2
1Infectious Disease Service, Memorial Sloan Kettering Cancer Center, New York, NY, United States.
Frontiers in oncology
|July 19, 2024
概括
化学抗原受体 (CAR) T细胞疗法为血液癌症患者提供了新的希望,但可能导致感染. 管理这些感染需要针对每个患者量身定制的查,预防和监测策略.
科学领域:
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
- 细胞疗法 细胞疗法
背景情况:
- 化学抗原受体 (CAR) T细胞疗法已经改变了血液恶性瘤治疗.
- 这种治疗与显著的毒性有关,包括细胞因子释放综合征 (CRS),免疫效应细胞相关的神经毒性综合征 (ICANS) 和机会性感染.
研究的目的:
- 审查与CAR T细胞治疗相关的传染性并发症.
- 讨论查,预防,监测和管理CAR T细胞接受者感染的策略.
主要方法:
- 关于CAR T细胞治疗和相关感染的当前文献的综述.
- 风险因素的分析,包括CAR T细胞标和免疫抑制治疗.
- 讨论管理策略,包括免疫球蛋白替代和再接种疫苗.
主要成果:
- 在CAR T细胞治疗中,感染是一个主要问题,根据CAR T细胞点,风险会有所不同.
- 免疫缺陷状态可能是长期的,受点和瘤外影响的影响.
- 针对CRS和ICANS的多模式免疫抑制可以加剧感染风险.
结论:
- 在CAR T细胞接受者中有效管理感染需要个性化策略.
- 了解以前的疗法,恶性瘤,CAR T细胞点和不良事件至关重要.
- 感染管理协议将继续随着新的CAR T细胞产品和目标而发展.
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