CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:FDG-PET in Chimeric Antigen Receptor T-Cell (CAR T-Cell) Therapy Toxicity: A Systematic Review.
FDG-PET in Chimeric Antigen Receptor T-Cell (CAR T-Cell) Therapy Toxicity: A Systematic Review.
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靶向 CD19 的嵌合抗原受体(CAR)T 细胞疗法是癌症免疫治疗的重要进展,具有很高的特异性和选择性,但仍可能出现并发症。因此,本研究开展系统综述,评估正电子发射断层显像(PET)用于检测 CAR-T 诱导不良反应的现状。研究在 PubMed、Scopus 和 Web of Science 等数据库中检索截至 2024 年 3 月的相关文章。两名审稿人独立筛选文章并提取数据,再使用 Microsoft Excel 进行整理分类,并评估偏倚风险和方法学质量。本研究共纳入 18 篇文章,涉及 753 例患者,分析了多种 PET 应用,包括预测、相关性和诊断价值。各方面均观察到积极结果,但研究异质性高且使用不同 PET 衍生参数,限制了定量分析。本研究开创性地探索这一有前景的领域,旨在促进未来临床试验开展更多深入且聚焦的研究。
The utilization of chimeric antigen receptor (CAR) T-cell therapy to target cluster of differentiation (CD)19 in cancer immunotherapy has been a recent and significant advancement. Although this approach is highly specific and selective, it is not without complications.
Therefore, a systematic review was conducted to assess the current state of positron emission tomography (PET) in evaluating the adverse effects induced by CAR T-cell therapy. A thorough search of relevant articles was performed in databases such as PubMed, Scopus, and Web of Science up until March 2024. Two reviewers independently selected articles and extracted data, which was then organized and categorized using Microsoft Excel.
The risk of bias and methodological quality was assessed. In total, 18 articles were examined, involving a total of 753 patients, in this study. A wide range of utilities were analyzed, including predictive, correlative, and diagnostic utilities. While positive outcomes were observed in all the mentioned areas, quantitative analysis of the included studies was hindered by their heterogeneity and use of varying PET-derived parameters.
This study offers a pioneering exploration of this promising field, with the goal of encouraging further and more focused research in upcoming clinical trials.
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