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嵌合抗原受体 T 细胞的早期和晚期毒性。

Early and Late Toxicities of Chimeric Antigen Receptor T-Cells.

机构信息

Department of Bone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, 262 Danny Thomas Place, MS 1130, Memphis, TN 38105, USA.

Pediatric Oncology Branch, Center for Cancer Research (CCR), National Cancer Institute (NCI), NIH, Building 10, Room 1W-3750, 9000 Rockville Pike MSC 1104, Bethesda, MD 20892, USA; Pediatric Hematology/Oncology, Johns Hopkins Hospital, Baltimore, MD, USA.

出版信息

Hematol Oncol Clin North Am. 2023 Dec;37(6):1169-1188. doi: 10.1016/j.hoc.2023.05.010. Epub 2023 Jun 21.


DOI:10.1016/j.hoc.2023.05.010
PMID:37349152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10592597/
Abstract

As chimeric antigen receptor (CAR) T-cell therapy is increasingly integrated into clinical practice across a range of malignancies, identifying and treating inflammatory toxicities will be vital to success. Early experiences with CD19-targeted CAR T-cell therapy identified cytokine release syndrome and neurotoxicity as key acute toxicities and led to unified initiatives to mitigate the influence of these complications. In this section, we provide an update on the current state of CAR T-cell-related toxicities, with an emphasis on emerging acute toxicities affecting additional organ systems and considerations for delayed toxicities and late effects.

摘要

随着嵌合抗原受体 (CAR) T 细胞疗法在多种恶性肿瘤的临床实践中日益得到应用,识别和治疗炎症毒性对于取得成功至关重要。在早期使用针对 CD19 的 CAR T 细胞疗法的经验中,细胞因子释放综合征和神经毒性被确定为关键的急性毒性,并导致采取了统一的措施来减轻这些并发症的影响。在本节中,我们提供了有关 CAR T 细胞相关毒性的最新情况,重点介绍了影响其他器官系统的新出现的急性毒性以及延迟毒性和晚期效应的考虑因素。

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本文引用的文献

[1]
Dasatinib for treatment of CAR T-cell therapy-related complications.

J Immunother Cancer. 2022-12

[2]
Health-related quality of life in patients given ciltacabtagene autoleucel for relapsed or refractory multiple myeloma (CARTITUDE-1): a phase 1b-2, open-label study.

Lancet Haematol. 2022-12

[3]
Cardiotoxicity Associated With Chimeric Antigen Receptor (CAR)-T Cell Therapy for Hematologic Malignancies: A Systematic Review.

Cureus. 2022-8-19

[4]
Hyperinflammatory syndrome resembling haemophagocytic lymphohistiocytosis following axicabtagene ciloleucel and brexucabtagene autoleucel.

Br J Haematol. 2022-12

[5]
Outcomes After Nonresponse and Relapse Post-Tisagenlecleucel in Children, Adolescents, and Young Adults With B-Cell Acute Lymphoblastic Leukemia.

J Clin Oncol. 2023-1-10

[6]
Immune effector cell associated neurotoxicity syndrome in chimeric antigen receptor-T cell therapy.

Front Immunol. 2022

[7]
Checkpoint inhibitor immunotherapy diminishes oocyte number and quality in mice.

Nat Cancer. 2022-8

[8]
Checking ovarian reserves after checkpoint blockade.

Nat Cancer. 2022-8

[9]
Allogeneic CD34-selected stem cell boost as salvage treatment of life-threatening infection and severe cytopenias after CAR-T cell therapy.

Transfusion. 2022-10

[10]
Serologic response and safety of COVID-19 vaccination in HSCT or CAR T-cell recipients: a systematic review and meta-analysis.

Exp Hematol Oncol. 2022-8-16

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