自体干细胞移植后采用CD19嵌合抗原受体T细胞疗法治疗复发或难治性伯基特淋巴瘤/白血病:一例报告及文献综述

CD19 chimeric antigen receptor T-cell therapy following autologous stem cell transplantation against relapsed or refractory Burkitt lymphoma/leukemia: A case report and literature review.

作者信息

Ye Mingyu, Gao Lei, Wang Tao, Yu Jiechen, Gui Jiaping, Yang Jianmin

机构信息

Department of Hematology, The First Affiliated Hospital of Naval Medical University, Shanghai, China.

出版信息

Front Oncol. 2022 Oct 24;12:932254. doi: 10.3389/fonc.2022.932254. eCollection 2022.

Abstract

Burkitt lymphoma or leukemia (BL) is a highly aggressive non-Hodgkin lymphoma. Older age (over 60 years old) and the presence of high-risk factors (such as abdominal mass, high levels of the serum lactic dehydrogenase, Ann Arbor stage II-IV and so on) usually predict a poorer outcome. Chimeric antigen receptor T cells (CART) have achieved remarkable success in the treatment of B-cell leukemia and lymphoma. Here, for the first time, we report a 61-year-old, high-risk BL patient with autologous stem cell transplantation (ASCT) bridging therapy prior to CART as consolidation therapy. Our findings demonstrate that the combination of ASCT and CART for BL is safe and feasible.

摘要

伯基特淋巴瘤或白血病(BL)是一种侵袭性很强的非霍奇金淋巴瘤。年龄较大(60岁以上)以及存在高危因素(如腹部肿块、血清乳酸脱氢酶水平高、Ann Arbor分期为II-IV期等)通常预示预后较差。嵌合抗原受体T细胞(CART)在治疗B细胞白血病和淋巴瘤方面取得了显著成功。在此,我们首次报告了一名61岁的高危BL患者,在进行CART巩固治疗之前采用自体干细胞移植(ASCT)桥接治疗。我们的研究结果表明,ASCT与CART联合用于治疗BL是安全可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c60/9639856/f13df0507b5d/fonc-12-932254-g001.jpg

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