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2019冠状病毒病在造血细胞移植和嵌合抗原受体T细胞受体患者中的临床经验

Clinical experience of coronavirus disease 2019 in hematopoietic cell transplant and chimeric antigen receptor T-cell recipients.

作者信息

Sharma Akshay, Bhatt Neel S, Hijano Diego R

机构信息

Department of Bone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, Memphis, Tennessee.

Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.

出版信息

Curr Opin Hematol. 2021 Nov 1;28(6):394-400. doi: 10.1097/MOH.0000000000000683.

Abstract

PURPOSE OF REVIEW

To discuss the clinical experience of coronavirus disease 2019 (COVID-19) in hematopoietic cell transplant and chimeric antigen receptor T-cell therapy recipients over the past year and to identify key knowledge gaps for future research.

RECENT FINDINGS

Immunocompromised individuals and those with chronic health conditions are especially susceptible to infections, which have had a disproportionate impact on health outcomes during the COVID-19 pandemic. Several studies have evaluated the clinical characteristics and outcomes of transplant and cellular therapy (TCT) recipients who developed COVID-19. Age, sex, comorbid conditions, and social determinants of health are important predictors of the risk of severe acute respiratory syndrome coronavirus 2 infection and of the eventual severity of the disease. Various treatment approaches have been investigated over the last year. The paradigm of management strategies continues to evolve as more experience is accumulated.

SUMMARY

In this review, we summarize some important findings as they relate to the clinical characteristics of TCT recipients who develop COVID-19. We also discuss some treatment approaches that are currently recommended and opine on vaccination in this population.

摘要

综述目的

探讨过去一年中造血细胞移植受者和嵌合抗原受体T细胞疗法受者感染2019冠状病毒病(COVID-19)的临床经验,并确定未来研究的关键知识空白。

最新发现

免疫功能低下个体和患有慢性健康问题的个体尤其易受感染,在COVID-19大流行期间,感染对健康结果产生了不成比例的影响。多项研究评估了发生COVID-19的移植和细胞疗法(TCT)受者的临床特征和结局。年龄、性别、合并症以及健康的社会决定因素是严重急性呼吸综合征冠状病毒2感染风险和疾病最终严重程度的重要预测因素。在过去一年中,人们对各种治疗方法进行了研究。随着经验的积累,管理策略的模式也在不断演变。

总结

在本综述中,我们总结了一些与发生COVID-19的TCT受者临床特征相关的重要发现。我们还讨论了目前推荐的一些治疗方法,并对该人群的疫苗接种发表了意见。

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