在青少年和年轻成年人中使用化学抗原受体T细胞治疗后持续的认知功能障碍
Yusa Nagai1, Itaru Hayakawa1, Masahiro Sugawa2
1Division of Neurology, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan.
Pediatric neurology
|April 14, 2025
概括
化学抗原受体T细胞 (CAR-T) 治疗可以引起神经毒性,导致免疫效应细胞相关的神经毒性综合征 (ICANS). 这项研究表明,持续性认知功能障碍是青少年和年轻人的CAR-T治疗副作用之一.
科学领域:
- 神经科学是一个神经科学.
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 化学抗原受体T细胞 (CAR-T) 治疗是一种治疗血液性恶性瘤的方法.
- 免疫效应细胞相关神经毒性综合征 (ICANS) 是CAR-T疗法的神经复杂症.
- ICANS的神经认知病理学尚未完全理解.
研究的目的:
- 调查持续认知功能障碍作为CAR-T疗法的潜在神经毒性.
- 描述ICANS在接受B细胞急性淋巴细胞白血病CAR-T治疗的患者的神经认知效应.
主要方法:
- 这是一项单一中心的连续研究,针对B细胞急性淋巴细胞白血病的CAR-T治疗后的ICANS患者.
- 在ICANS开始和在神经病学部门的随访期间评估认知功能.
主要成果:
- 在10例CAR-T治疗病例中,有3例发生ICANS.
- 青少年和年轻成年患者经历了认知衰退,记忆丧失和情绪障碍.
- 所有患者的神经状态在一个月内完全恢复.
结论:
- 持久性认知功能障碍可能是CAR-T治疗在患有B细胞急性淋巴细胞白血病的青少年和年轻成年人中未被认可的神经毒性.
- 对于接受CAR-T治疗的患者,建议进行详细的神经心理评估.
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