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嵌合抗原受体(CAR)-T 细胞治疗相关不良事件全谱

英文原题:Complete spectrum of adverse events associated with chimeric antigen receptor (CAR)-T cell therapies.

查看英文原题

Complete spectrum of adverse events associated with chimeric antigen receptor (CAR)-T cell therapies.

PubMed 2023/10/21(内容时间) J Biomed Sci Q1 · IF 14.5(JCR 2025)

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中文摘要

嵌合抗原受体(CAR)T细胞疗法已获美国食品药品监督管理局批准,用于治疗复发/难治性血液系统恶性肿瘤。然而,CAR-T 相关不良反应复杂,诊断和治疗均可能具有挑战性。本文综述主要不良事件,包括细胞因子释放综合征(CRS)、免疫效应细胞相关神经毒性综合征(ICANS)及CAR-T 相关噬血细胞性淋巴组织细胞增多症(carHLH),并讨论其病理生理机制、症状、分级与诊断系统以及管理方法。展望部分还概述了目前正在探索的限制CAR-T 毒性的措施和细胞改造策略。

展开英文摘要原文

Chimeric antigen receptor (CAR)-T cell therapies have been approved by FDA to treat relapsed or refractory hematological malignancies.

However, the adverse effects of CAR-T cell therapies are complex and can be challenging to diagnose and treat. In this review, we summarize the major adverse events, including cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS), and CAR T-cell associated HLH (carHLH), and discuss their pathophysiology, symptoms, grading, and diagnosis systems, as well as management. In a future outlook, we also provide an overview of measures and modifications to CAR-T cells that are currently being explored to limit toxicity.

论文信息

作者
Yang C、Nguyen J、Yen Y
第一作者单位
Department of Internal Medicine, School of Medicine, University of California Riverside, Riverside, CA, USA.United States
通讯作者单位
College of Medical Technology, Taipei Medical University, Taipei City, Taiwan. yyen@tmu.edu.tw.Taiwan
文献类型
综述
期刊
Journal of biomedical science2023 Oct 21
原文标识
PubMed 37864230 · DOI 10.1186/s12929-023-00982-8