决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Successful treatment of a case with synchronous follicular lymphoma and gastric adenocarcinoma with CD19 CAR T cells and literature review.
已知和目的:抗CD19 CAR-T细胞疗法对B细胞淋巴瘤有效。
已知和目的:抗CD19 CAR-T细胞疗法对B细胞淋巴瘤有效。然而,它很少用于淋巴瘤合并其他恶性肿瘤的情况。病例描述:一名复发/难治性滤泡性淋巴瘤(r/r FL)患者接受了抗CD19 CAR-T细胞疗法,并实现了淋巴瘤的完全缓解。然而,在细胞治疗期间被诊断为胃腺癌(GAC)。输注CAR-T细胞后,他接受了GAC的根治性治疗,治疗后r/r FL和GAC均维持完全缓解。新发现和结论:抗CD19 CAR-T疗法是r/r FL的有效治疗手段,也为GAC的序贯治疗提供了机会,并且此后仍保持了显著的生活质量。
WHAT IS KNOWN AND OBJECTIVE: Anti-CD19 CAR-T cell therapy is effective in B-cell lymphoma. However, it is rarely used in lymphoma combined with other malignant tumours. CASE DESCRIPTION: A relapsed/refractory follicular lymphoma (r/r FL) patient underwent anti-CD19 CAR-T cell therapy and achieved complete response to lymphoma. However, gastric adenocarcinoma (GAC) was diagnosed during the cellular therapy. After infusion of CAR-T cells, he received curative treatment for GAC, and maitained complete response in both r/r FL and GAC after the treatment. WHAT IS NEW AND CONCLUSION: Anti-CD19 CAR-T therapy is an effective treatment for r/r FL, also provided opportunity for the sequential therapy of GAC, and remained significant quality of life afterwards.
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