CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:What drives CAR-T emergent cytopenia?
What drives CAR-T emergent cytopenia?
分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。
CAR-T 治疗后持续性血细胞减少是已知问题,其原因和临床意义尚不明确。一篇Kitamura等人的研究指出,CAR-T 治疗前即可检测到骨髓生态位改变,且这些改变与持续性血细胞减少相关,提示其可能用于预测这一严重治疗副作用。本文对该研究进行评述:Kitamura等,《CAR-T 细胞治疗后骨髓微环境破坏及持续炎症与长期血液学毒性》,British Journal of Haematology,2023;202:294–307。
Prolonged cytopenia after CAR-T cell therapy is an acknowledged problem. At present, the causes and implications of prolonged cytopenia are unclear. The paper by Kitamura et al identified that prolonged cytopenia is associated with alterations in the bone marrow niche identified before CAR-T therapy, indicating a potential predictor of this serious side-effect of treatment.
Commentary on: Kitamura et al. Bone marrow microenvironment disruption and sustained inflammation with prolonged haematologic toxicity after CAR T-cell therapy? Br J Haematol 2023;202:294-307.
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