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眼科中 CAR-T 细胞治疗相关不良事件:叙述性综述

英文原题:Adverse events associated with chimeric antigen receptor T-cell therapy in ophthalmology: a narrative review.

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Adverse events associated with chimeric antigen receptor T-cell therapy in ophthalmology: a narrative review.

PubMed 2024/05/20(内容时间) Ann Med Surg (Lond) Q2 · IF 1.6(JCR 2025)

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中文摘要

嵌合抗原受体是人工合成受体,可使细胞高特异性识别靶细胞。CAR将人工T细胞受体整合到免疫球蛋白抗原结合区域,使细胞识别特定抗原。CAR-T 已成为免疫治疗领域的重要进展,尤其用于视网膜母细胞瘤和葡萄膜黑色素瘤等眼部肿瘤。然而,CRS和免疫效应细胞相关神经毒性综合征等副作用已有报道;视力模糊、视力受损和眼内感染等眼部不良反应也值得进一步评估。本文综述CAR免疫疗法的结构、制造、临床发现及相关不良反应,并指出当前研究空白,为解决严重副作用提供潜在策略。

展开英文摘要原文

Chimeric antigen receptors are synthetically produced receptors engineered to engage with target cells with high specificity. These cells are created by inserting an artificial T-cell receptor into an immunoglobulin's antigen-binding region, allowing the cells to combine and target specific antigens. The use of chimeric antigen receptor (CAR) T-cell therapy has been a remarkable achievement in the field of immunotherapy, particularly in the treatment of ophthalmic tumors like retinoblastoma and uveal melanoma.

However, there are some documented side effects, such as cytokine release syndrome (CRS) and immunological effector cell-associated neurotoxicity syndrome (ICANS).

Additionally, ocular side effects such as blurred vision, vision impairment, and intraocular infections are also concerning and require further evaluation. This review highlights the advances made in chimeric antigen receptor (CAR) immunotherapy, including its structure and manufacture, as well as relevant clinical discoveries and associated adverse effects. By identifying the gaps in current research, this analysis provides insights into potential strategies and solutions for addressing some of the most severe side effects.

论文信息

作者
Sarwar S、Riaz U、Ali A、Kailash SJ
第一作者单位
Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
通讯作者单位
Department of medicine, Vinnytsia National Medical University, Vinnytsia, Ukraine.
文献类型
综述
期刊
Annals of medicine and surgery (2012)2024 Jul
原文标识
PubMed 38989163 · DOI 10.1097/MS9.0000000000002188