在四名接受化学抗原受体T细胞治疗的患者中,治疗引起的帕金森症
John B Sanderson1, Yi-Han Lin1, Kimmy Su1,2
1University of Washington Department of Neurology, Seattle, WA, USA.
化学抗原受体T细胞 (CAR-T) 治疗很少会导致帕金森症. 在CAR-T输液注入之前对先前存在的神经退行性帕金森症进行查,可能有助于预防这些罕见但严重的不良事件.
科学领域:
- 在瘤学瘤学.
- 神经学 神经学
- 免疫治疗是一种免疫疗法.
背景情况:
- 化学抗原受体T细胞 (CAR-T) 治疗与罕见但已记录的神经认知和运动不良事件有关.
- 在针对BCMA和CD-19的CAR-T治疗后观察到治疗引起的帕金森症.
研究的目的:
- 描述在CAR-T治疗后出现的帕金森症的临床特征.
- 确定与CAR-T相关的帕金森症的潜在风险因素和管理策略.
主要方法:
- 在CAR-T治疗后出现帕金森症的四名患者的回顾性病例系列.
- 对潜在的神经退行性帕金森症的临床评估和评估.
主要成果:
- 四名患者在CAR-T治疗后出现帕金森症 (三名患者接受BCMA向治疗,一名患者接受CD-19向治疗).
- 两名患者显示了先前存在的神经退行性帕金森症的证据.
- 患者接受了症状导向和免疫调节治疗.
结论:
- 帕金森症是针对CD-19的CAR-T治疗的潜在治疗出现的不良事件.
- 建议在CAR-T输注之前对先前存在的帕金森症进行查.
- 需要进一步的研究来了解CAR-T相关帕金森症的机制和最佳管理.
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