文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

嵌合抗原受体T细胞疗法治疗血液系统恶性肿瘤后的体液疫苗反应。

Humoral vaccine responses following Chimeric Antigen Receptor T-cell therapy for hematological malignancies.

作者信息

Einarsdottir Sigrun, Lobaugh Stephanie, Luan Danny, Gomez-Llobell Marina, Subramanian Padmapriya, Devlin Sean, Chung David, Dahi Parastoo B, Falchi Lorenzo, Giralt Sergio, Landau Heather, Lesokhin Alexander M, Lin Richard, Lue Jennifer, Mailankody Sham, Palomba M Lia, Park Jae H, Salles Gilles, Scordo Michael, Escribano-Serrat Silvia, Sanz Jaime, Rejeski Kai, Shouval Roni, Usmani Saad, Perales Miguel-Angel, Shah Gunjan, Shahid Zainab

机构信息

Adult Bone Marrow Transplant Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Department of Hematology, Sahlgrenska University Hospital, Gothenburg, Sweden.

出版信息

Blood Cancer J. 2025 Jul 2;15(1):114. doi: 10.1038/s41408-025-01321-w.


DOI:10.1038/s41408-025-01321-w
PMID:40603286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12223166/
Abstract

This single-center, retrospective study analyzed vaccine responses in patients who received post-Chimeric Antigen Receptor (CAR) T-cell therapy vaccination between 2018 and 2024. Vaccinations were administered according to EBMT/CIBMTR recommendations and pathogen-specific IgG responses to 12 vaccine-preventable infections were assessed. Seroprotection was defined by established cut-offs or a significant fold increase in titers. A total of 73 patients that had not received intravenous immunoglobulins within the eight weeks prior to pre- or post titer were included. The median time to vaccination initiation was 13 months (range 6-66) post-CAR T. Pre and post-vaccination titers were available for 49 patients. Pre-vaccination seroprotection was high (> 85%) for tetanus and poliovirus. Among patients not seroprotected prior to vaccination, vaccine response rates were high for tetanus and polio (100%), moderate for diphtheria (75%) and haemophilus influenzae type b (62%), and lower for pertussis (48%), hepatitis A (43%), hepatitis B (44%), and pneumococcal disease (33%). CD19 CAR T recipients had higher pre-vaccination seroprotection rates than BCMA recipients, but vaccine responses did not differ significantly between groups. Pre-vaccination IgA levels were significantly associated with vaccine response, and absolute B-cell counts trended higher among responders (p = 0.054). Our findings highlight the importance of immune reconstitution in vaccine responses post-CAR T.

摘要

这项单中心回顾性研究分析了2018年至2024年间接受嵌合抗原受体(CAR)T细胞治疗后疫苗接种患者的疫苗反应。根据欧洲血液与骨髓移植协会(EBMT)/国际骨髓移植登记处(CIBMTR)的建议进行疫苗接种,并评估了对12种疫苗可预防感染的病原体特异性IgG反应。血清保护通过既定的临界值或滴度的显著倍数增加来定义。共有73例在滴度前或滴度后八周内未接受静脉注射免疫球蛋白的患者纳入研究。接种疫苗开始的中位时间为CAR T治疗后13个月(范围6 - 66个月)。49例患者有接种前和接种后的滴度数据。破伤风和脊髓灰质炎病毒的接种前血清保护率较高(> 85%)。在接种前未获得血清保护的患者中,破伤风和脊髓灰质炎的疫苗反应率较高(100%),白喉(75%)和b型流感嗜血杆菌(62%)的反应率中等,百日咳(48%)、甲型肝炎(43%)、乙型肝炎(44%)和肺炎球菌疾病(33%)的反应率较低。CD19 CAR T接受者的接种前血清保护率高于B细胞成熟抗原(BCMA)接受者,但两组之间的疫苗反应无显著差异。接种前IgA水平与疫苗反应显著相关,反应者的绝对B细胞计数有升高趋势(p = 0.054)。我们的研究结果强调了免疫重建在CAR T治疗后疫苗反应中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce9/12223166/465dbaf893bd/41408_2025_1321_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce9/12223166/f3ec91eb7c80/41408_2025_1321_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce9/12223166/a932f36aa45c/41408_2025_1321_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce9/12223166/465dbaf893bd/41408_2025_1321_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce9/12223166/f3ec91eb7c80/41408_2025_1321_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce9/12223166/a932f36aa45c/41408_2025_1321_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ce9/12223166/465dbaf893bd/41408_2025_1321_Fig3_HTML.jpg

相似文献

[1]
Humoral vaccine responses following Chimeric Antigen Receptor T-cell therapy for hematological malignancies.

Blood Cancer J. 2025-7-2

[2]
Chimeric antigen receptor (CAR) T-cell therapy for people with relapsed or refractory diffuse large B-cell lymphoma.

Cochrane Database Syst Rev. 2021-9-13

[3]
Revaccination following CAR-T therapy: a needs assessment.

Hematology. 2025-12

[4]
Combined DTP-HBV-HIB vaccine versus separately administered DTP-HBV and HIB vaccines for primary prevention of diphtheria, tetanus, pertussis, hepatitis B and Haemophilus influenzae B (HIB).

Cochrane Database Syst Rev. 2012-4-18

[5]
Exposure of progressive immune dysfunction by SARS-CoV-2 mRNA vaccination in patients with chronic lymphocytic leukemia: A prospective cohort study.

PLoS Med. 2023-6

[6]
Immunogenicity and seroefficacy of pneumococcal conjugate vaccines: a systematic review and network meta-analysis.

Health Technol Assess. 2024-7

[7]
Combined DTP-HBV-HIB vaccine versus separately administered DTP-HBV and HIB vaccines for primary prevention of diphtheria, tetanus, pertussis, hepatitis B and Haemophilus influenzae B (HIB).

Cochrane Database Syst Rev. 2009-7-8

[8]
Clinical Presentation, Risk Factors, and Outcomes of Immune Effector Cell-Associated Neurotoxicity Syndrome Following Chimeric Antigen Receptor T Cell Therapy: A Systematic Review.

Transplant Cell Ther. 2022-6

[9]
Influenza vaccines in immunosuppressed adults with cancer.

Cochrane Database Syst Rev. 2018-2-1

[10]
A meta-analysis to assess the risk of bleeding and thrombosis following chimeric antigen receptor T-cell therapy: Communication from the ISTH SSC Subcommittee on Hemostasis and Malignancy.

J Thromb Haemost. 2024-7

本文引用的文献

[1]
Characteristics of infections after BCMA-directed CAR T-cell therapy for multiple myeloma: a real-world analysis.

Blood Adv. 2025-3-25

[2]
Dynamics of Immune Reconstitution and Impact on Outcomes across CAR-T Cell Products in Large B-cell Lymphoma.

Blood Cancer Discov. 2025-3-4

[3]
Best Practice Considerations by The American Society of Transplant and Cellular Therapy: Infection Prevention and Management After Chimeric Antigen Receptor T Cell Therapy for Hematological Malignancies.

Transplant Cell Ther. 2024-10

[4]
Overview of infectious complications among CAR T- cell therapy recipients.

Front Oncol. 2024-7-3

[5]
A systematic review and meta-analysis of nonrelapse mortality after CAR T cell therapy.

Nat Med. 2024-9

[6]
Late events after anti-CD19 CAR T-cell therapy for relapsed/refractory B-cell non-Hodgkin lymphoma.

Front Oncol. 2024-6-11

[7]
SARS-CoV-2 Vaccination in the First Year After Hematopoietic Cell Transplant or Chimeric Antigen Receptor T-Cell Therapy: A Prospective, Multicenter, Observational Study.

Clin Infect Dis. 2024-8-16

[8]
Immune reconstitution, vaccine responses, and rituximab use after ex-vivo CD34-selected myeloablative allogenic hematopoietic cell transplantation.

Bone Marrow Transplant. 2024-5

[9]
Management of Patients Undergoing CAR-T Cell Therapy in Germany.

Oncol Res Treat. 2024

[10]
Efficacy of Multiple SARS-CoV-2 Vaccine Doses in Patients with B Cell Hematologic Malignancies Receiving Chimeric Antigen Receptor T Cell Therapy: A Contemporary Cohort Analysis.

Transplant Cell Ther. 2024-3

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索