Le Bourgeois Amandine
Service d'Hématologie Clinique, CHU Hôtel-Dieu, 44093 Nantes Cedex, France.
Bull Cancer. 2018 Dec;105 Suppl 2:S188-S197. doi: 10.1016/S0007-4551(19)30049-9.
Chimeric antigen receptor T-cells (CAR T-cells) represent a very promising treatment for both hematological malignancies and solid tumors. Many clinical trials are currently on-going to establish the role of this emerging therapy. The toxicities observed after CAR T-cells infusion are mostly represented by a cytokine release syndrome and neurological symptoms. Athough reversible, these adverse events remain associated with morbidity and mortality in patients. The objective of this review is to describe these adverse events, also discussing their physiopathology and management, based on the recent recommendations published by the CARTOX working group (CAR T-cell-therapy-associated TOXicity working group) in the US. Cet article fait partie du numéro supplément Les cellules CAR-T : une révolution thérapeutique ? réalisé avec le soutien institutionnel des partenaires Gilead : Kite et Celgene.
嵌合抗原受体T细胞(CAR-T细胞)对于血液系统恶性肿瘤和实体瘤而言都是一种非常有前景的治疗方法。目前许多临床试验正在进行,以确立这种新兴疗法的作用。CAR-T细胞输注后观察到的毒性主要表现为细胞因子释放综合征和神经症状。尽管这些不良事件是可逆的,但它们仍与患者的发病率和死亡率相关。本综述的目的是根据美国CARTOX工作组(CAR-T细胞治疗相关毒性工作组)最近发布的建议,描述这些不良事件,并讨论其病理生理学和管理方法。本文是在美国吉利德公司合作伙伴Kite和新基公司的机构支持下完成的《CAR-T细胞:一场治疗革命?》增刊的一部分。