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抗 CD19 CAR-T 细胞治疗患者中增强的 BNT162b2 疫苗诱导细胞免疫

英文原题:Enhanced BNT162b2 vaccine-induced cellular immunity in anti-CD19 CAR T cell-treated patients.

PubMed 2022/07/14(内容时间) Blood Q1 · IF 23.9(JCR 2025)

研究概要

这些数据强调了在CD19 CAR-T细胞治疗后接种COVID-19疫苗的重要性,即使存在长期B细胞发育不全。

中文摘要

接受CD19 CAR T细胞治疗复发/难治性淋巴瘤的患者会出现长期且严重的B细胞再生障碍和低丙种球蛋白血症,使其面临更高的重症COVID-19风险。Oh等人和Atanackovic等人分别证明,尽管对mRNA疫苗的体液反应减弱,患者仍表现出正常或增强的功能性T细胞反应,包括针对SARS-CoV-2变异株(包括Omicron)的抗病毒T细胞活性。总体而言,这些数据强调了在CD19 CAR T细胞治疗后接种COVID-19疫苗的重要性,尽管存在长期B细胞再生障碍。

展开英文摘要原文

Patients receiving CD19 CAR T-cell therapy for relapsed/refractory lymphoma experience prolonged and profound B-cell aplasia and hypogammaglobulinemia, placing them at a higher risk for severe COVID-19. Independently, Oh et al and Atanackovic et al demonstrate that despite attenuated humoral response to mRNA-based vaccines, patients demonstrate normal or heightened functional T-cell responses, including antiviral T-cell activity against SARS-CoV-2 variants including Omicron. Collectively, these data reinforce the importance of COVID-19 vaccination following CD19 CAR T-cell therapy, despite long-term B-cell aplasia.

论文信息

作者
Oh BLZ、Tan N、de Alwis R、Kunasegaran K、Chen Z、Poon M、Chan E、Low JGH
第一作者单位
VIVA-University Children's Cancer Centre, Khoo-Teck Puat-National University Children's Medical Institute, National University Hospital, Singapore, Singapore.Singapore
通讯作者单位
Programme in Emerging Infectious Diseases, Duke-NUS Medical School, Singapore, Singapore.Singapore
文献类型
非美国政府资助研究
期刊
Blood2022 Jul 14
原文标识
PubMed 35472242 · DOI 10.1182/blood.2022016166