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嵌合抗原受体 T 细胞相关神经毒性:全面综述。

CAR T-cell-associated neurotoxicity: A comprehensive review.

机构信息

Service de neurologie, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France.

Service de neurologie, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France; Paris-Diderot, université de Paris, 75010 Paris, France.

出版信息

Rev Neurol (Paris). 2024 Nov;180(9):989-994. doi: 10.1016/j.neurol.2024.07.005. Epub 2024 Sep 16.

Abstract

Chimeric antigen receptor T-cell (CAR T-cell) therapies have emerged as a promising treatment modality for several malignancies, particularly haematological malignancies, by inducing robust antitumour responses. However, CAR T-cell therapies are associated with a spectrum of adverse events, including neurological complications. We here provide a review of neurological adverse events observed in patients undergoing CAR T-cell therapy, focusing on their incidence, clinical manifestations, underlying mechanisms and potential management strategies.

摘要

嵌合抗原受体 T 细胞(CAR T 细胞)疗法通过诱导强大的抗肿瘤反应,已成为多种恶性肿瘤(尤其是血液系统恶性肿瘤)的一种有前途的治疗方法。然而,CAR T 细胞疗法与一系列不良事件相关,包括神经并发症。本文就接受 CAR T 细胞治疗的患者中观察到的神经不良事件进行综述,重点介绍其发生率、临床表现、潜在机制和潜在管理策略。

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