免疫效应细胞疗法的心血管并发症在儿童血液和固体瘤中
Aaron B Ross1, Kriti Puri2,3, Thomas L Johnson1
1Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.
Pediatric blood & cancer
|January 20, 2025
概括
免疫效应细胞 (IEC) 疗法可以导致儿童的低血压和心力衰竭,但大多数人会康复. 这项研究在少数儿科患者中发现了显著的心脏事件,没有心血管死亡.
科学领域:
- 儿科瘤学 儿科瘤学
- 免疫治疗是一种免疫疗法.
- 心血管毒理学心血管毒理学
背景情况:
- 免疫效应细胞 (IEC) 疗法,包括CAR T细胞疗法,对儿科癌症有前途.
- 来自IEC治疗的细胞因子释放综合征 (CRS) 可以导致心血管问题.
- 关于接受IECs的儿科患者心血管不良事件的数据有限.
研究的目的:
- 描述儿科患者IEC疗法的心血管不良影响概况.
- 确定与儿科瘤学IEC治疗相关的风险.
主要方法:
- 对接受IEC的儿科患者的回顾性审查 (2014年1月 - 2023年6月).
- 主要终点:需要血管活性支持的低血压或30天内心力衰竭.
- 风险因素的分析,包括恶性瘤类型和先前的治疗方法.
主要成果:
- 203名儿科患者符合纳入标准;96%的基线心脏功能正常.
- 需要血管活性支持的低血压发生在13%的患者中.
- 血液恶性瘤,TBI和全原性HCT与低血压风险增加有关.
结论:
- 在少数接受IEC治疗的儿科患者中发生了显著的血液动力学损害.
- 所有患有心脏功能障碍的患者都显示功能恢复.
- 在这个队列中没有观察到与心血管相关的死亡率.
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