化学抗原受体 (CAR) T 细胞治疗神经肌肉疾病:系统性审查
1Neurology, Neurology and Neurophysiology Center, Vienna, AUT.
Cureus
|October 27, 2025
概括
化学抗原受体T细胞疗法 (CTCT) 对严重的免疫神经肌肉疾病显示出有前途. 这种疗法可显著改善对其他治疗无反应的患者的运动功能和生活质量.
科学领域:
- 免疫学 免疫学 免疫学
- 神经学 神经学
- 细胞疗法细胞疗法
背景情况:
- 化学抗原受体T细胞疗法 (CTCT) 越来越多地被认为是超出血液恶性瘤的有效性,在免疫和神经肌肉疾病中显示出潜力.
- 免疫介导的神经肌肉疾病往往对传统的免疫调节疗法构成挑战,需要新的治疗方法.
研究的目的:
- 系统地审查CTCT在免疫媒介神经肌肉疾病中的当前应用和结果.
- 评估CTCT在各种神经肌肉疾病中的安全性和有效性.
主要方法:
- 使用PubMed,Embase,Scopus和谷歌学者进行了系统的文献审查.
- 包括报告CTCT用于神经肌肉疾病 (如肌痛性肌痛症,兰伯特-伊顿综合征和炎症性肌肉病) 的研究.
主要成果:
- 主要针对CD19阳性淋巴细胞或B细胞成熟抗原的CTCT,应用于患有骨髓质疏松症,兰伯特-伊顿综合征,炎症性肌肉病变和慢性炎症性脱髓化多神经病症的患者.
- 所有报告的患者都经历了运动功能和生活质量的显著改善,有些人在治疗后完全康复.
结论:
- 对于常规治疗不耐药的严重免疫神经肌肉疾病,CTCT是一个有前途的治疗策略.
- 对于那些免疫神经肌肉病症患者来说,需要考虑CTCT,这些患者对多种免疫调节疗法没有充分反应.
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