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复发/难治性白血病儿科患者 CAR-T 细胞治疗后的血浆微生物游离 DNA

英文原题:Plasma microbial cell-free DNA following chimeric antigen receptor T cell therapy in pediatric patients with relapsed/refractory leukemia.

查看英文原题

Plasma microbial cell-free DNA following chimeric antigen receptor T cell therapy in pediatric patients with relapsed/refractory leukemia.

PubMed 2024/04/24(内容时间) Eur J Haematol Q2 · IF 2.6(JCR 2025)

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中文摘要

嵌合抗原受体(CAR)T 细胞疗法是儿童复发/难治性 B 细胞急性淋巴细胞白血病(R/R B-ALL)的有前景治疗方法。细胞因子释放综合征(CRS)是 CAR-T 治疗后的常见毒性,发热往往是首发症状。CAR-T 治疗后区分 CRS 与感染可能较困难。血浆微生物游离细胞 DNA(mcfDNA)是一种新型诊断工具,可对 1,000 多种微生物进行定性和定量分析。本先导研究旨在描述儿童 R/R B-ALL 患者接受 CAR-T 治疗后前两个月的 mcfDNA 检测结果。

展开英文摘要原文

Chimeric antigen receptor (CAR) T cell therapy is a promising treatment for pediatric patients with relapsed or refractory B cell acute lymphoblastic leukemia (R/R B ALL). Cytokine release syndrome (CRS) is a common toxicity after CAR T cell therapy and fever is often the first symptom.

Differentiating CRS from infection after CAR T cell therapy can be challenging. Plasma microbial cell free DNA (mcfDNA) is a novel diagnostic tool which allows for qualitative and quantitative assessment of over 1000 organisms. This pilot study sought to characterize mcfDNA results in pediatric patients with R/R B ALL in the first 2 months after CAR T cell therapy.

论文信息

作者
Aftandilian C、Bito XR、Berman D、Zhang A、Duttagupta R、Davis KL
单位
Pediatric Hematology/Oncology/Stem Cell Transplant and Regenerative Medicine, Stanford University, Palo Alto, California, USA.United States
期刊
European journal of haematology2024 Aug
原文标识
PubMed 38658354 · DOI 10.1111/ejh.14216