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提高 CAR-T 细胞治疗的安全性:接受 CAR-T 细胞治疗的复发/难治性 B 细胞淋巴瘤患者病毒感染的风险与预防

英文原题:Improving the safety of CAR-T-cell therapy: The risk and prevention of viral infection for patients with relapsed or refractory B-cell lymphoma undergoing CAR-T-cell therapy.

查看英文原题

Improving the safety of CAR-T-cell therapy: The risk and prevention of viral infection for patients with relapsed or refractory B-cell lymphoma undergoing CAR-T-cell therapy.

PubMed 2024/01/10(内容时间) Am J Hematol Q1 · IF 9.4(JCR 2025)

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中文摘要

嵌合抗原受体(CAR)T细胞疗法是一种针对复发/难治性B细胞淋巴瘤的创新免疫治疗,但因频繁的病毒感染而面临挑战。尽管如此,目前明显缺乏针对风险评估、监测和治疗管理的全面综述。本综述阐明了CAR-T 受者病毒感染期间免疫应答受损的机制,汇总了易感性危险因素,并探讨了预防策略。在以Omicron变异株为标志的后疫情时代,CAR-T 疗法面临新的严重威胁,有必要探索COVID-19的预防和治疗措施。总体而言,本综述为病毒感染的预防和管理提供了建议,以提高CAR-T 产品的安全性和受者的生存率。

展开英文摘要原文

Chimeric antigen receptor (CAR) T-cell therapy, an innovative immunotherapeutic against relapsed/refractory B-cell lymphoma, faces challenges due to frequent viral infections. Despite this, a comprehensive review addressing risk assessment, surveillance, and treatment management is notably absent.

This review elucidates immune response compromises during viral infections in CAR-T recipients, collates susceptibility risk factors, and deliberates on preventive strategies. In the post-pandemic era, marked by the Omicron variant, new and severe threats to CAR-T therapy emerge, necessitating exploration of preventive and treatment measures for COVID-19.

Overall, the review provides recommendations for viral infection prophylaxis and management, enhancing CAR-T product safety and recipient survival.

论文信息

作者
Qian H、Yang X、Zhang T、Zou P、Zhang Y、Tian W、Mao Z、Wei J
单位
Department of Hematology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.China
文献类型
综述 · 非美国政府资助研究
期刊
American journal of hematology2024 Apr
原文标识
PubMed 38197307 · DOI 10.1002/ajh.27198