与CAR-T细胞疗法相关的毒性
Ugo Testa1, Germana Castelli1, Elvira Pelosi1
1Department of Oncology, Istituto Superiore di Sanità, ROME, Italy.
概括
化学抗原受体 (CAR) T细胞疗法对血液癌症有希望,但存在风险. 了解和管理细胞因子释放综合征和神经毒性等毒性对于患者安全和治疗成功至关重要.
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复发/耐药B细胞恶性瘤的结果.
- 尽管有效,但CAR-T疗法具有显著的毒性,影响患者的发病率和死亡率.
研究的目的:
- 审查和澄清与CAR-T细胞疗法相关的明显毒性.
- 阐明这些不良事件背后的机制.
主要方法:
- 对定义CAR-T细胞治疗毒性研究的文献综述.
- 对急性和晚发性毒性报告的机制的分析.
主要成果:
- 细胞因子释放综合征 (CRS) 和免疫效应细胞相关的神经毒性综合征 (ICANS) 是主要的急性毒性.
- 晚期的毒性包括B细胞无形成症,低血糖球蛋白血症,感染和细胞衰竭.
- 感染是非复发性死亡的主要原因;二级骨髓质恶性瘤很少见.
结论:
- 卡特-T疗法需要仔细的毒性监测和管理策略.
- 进一步研究减轻这些不良事件对于更广泛的CAR-T应用至关重要.
关键词:
诊断 诊断 诊断 诊断 诊断肝素结合蛋白是一种素结合蛋白.传染病 传染病 传染病 传染病进行元分析分析.死亡率 死亡率 死亡率器官衰竭 器官衰竭是指器官的衰竭.预测 预测 预测 预测败血症 这是一种败血症.系统性审查 系统性审查更多相关视频
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