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成人 CAR-T 细胞的毒性、重症监护管理与结局:最新进展

英文原题:Toxicities, intensive care management, and outcome of chimeric antigen receptor T cells in adults: an update.

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Toxicities, intensive care management, and outcome of chimeric antigen receptor T cells in adults: an update.

PubMed 2024/03/05(内容时间) Crit Care Q1 · IF 11.4(JCR 2025)

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中文摘要

CAR-T 细胞是治疗血液系统恶性肿瘤的一种有前景的新型免疫疗法。目前成人复发/难治性高级别B细胞恶性肿瘤已有6种CAR-T 产品可用,但可能导致严重且危及生命的毒性和副作用,患者可能需要入住重症监护病房(ICU)。本篇简明实用综述旨在为重症医学医生总结CAR-T 治疗知识,重点介绍CAR-T 诱发毒性、依据国际建议管理并发症、治疗结局及未来问题。

展开英文摘要原文

Chimeric antigen receptor T cells are a promising new immunotherapy for haematological malignancies. Six CAR-T cells products are currently available for adult patients with refractory or relapsed high-grade B cell malignancies, but they are associated with severe life-threatening toxicities and side effects that may require admission to ICU.

The aim of this short pragmatic review is to synthesize for intensivists the knowledge on CAR-T cell therapy with emphasis on CAR-T cell-induced toxicities and ICU management of complications according to international recommendations, outcomes and future issues.

论文信息

作者
Bellal M、Malherbe J、Damaj G、Du Cheyron D
单位
Department of Medical Intensive Care, Caen University Hospital, Avenue de la côte de nacre, 14000, Caen, France. mathieu.bellal@gmail.com.France
文献类型
综述
期刊
Critical care (London, England)2024 Mar 5
原文标识
PubMed 38444031 · DOI 10.1186/s13054-024-04851-0