决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
英文原题:Applied Cardio-Oncology in Hematological Malignancies: A Narrative Review.
Applied Cardio-Oncology in Hematological Malignancies: A Narrative Review.
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血液系统恶性肿瘤中的心脏肿瘤学实践,是指为血液癌症患者整合心血管照护和管理,尤其针对白血病、淋巴瘤和多发性骨髓瘤患者。血液系统恶性肿瘤治疗相关心脏毒性涵盖常规化疗、靶向治疗、免疫治疗、CAR-T(CAR-T)细胞和TIL(肿瘤浸润淋巴细胞)疗法、双特异性抗体及造血干细胞移植所致的常见心血管并发症。本叙述性综述聚焦血液肿瘤治疗相关心脏毒性的定义、风险分层、多模态成像,以及利用心脏生物标志物检测临床或亚临床心肌功能障碍和电活动不稳定。此外,综述详细介绍血液系统恶性肿瘤患者主要药物和/或治疗干预最常见的心脏毒性特征。
Applied cardio-oncology in hematological malignancies refers to the integration of cardiovascular care and management for patients with blood cancer, particularly leukemia, lymphoma, and multiple myeloma. Hematological cancer therapy-related cardiotoxicity deals with the most common cardiovascular complications of conventional chemotherapy, targeted therapy, immunotherapy, chimeric antigen receptor T (CAR-T) cell and tumor-infiltrating lymphocyte therapies, bispecific antibodies, and hematopoietic stem cell transplantation.
This narrative review focuses on hematological cancer-therapy-related cardiotoxicity's definition, risk stratification, multimodality imaging, and use of cardiac biomarkers to detect clinical and/or subclinical myocardial dysfunction and electrical instability.
Moreover, the most common cardiotoxic profiles of the main drugs and/or therapeutic interventions in patients with hematological malignancies are described thoroughly.
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