CAR-T 细胞治疗与美国 Medicare 受益者的心血管结局
Chimeric antigen receptor T-cell therapy and cardiovascular outcomes in US Medicare beneficiaries.
在接受 CAR-T 的最大规模全国性老年人群样本中,5.8% 的患者发生 MACE,且与院内死亡率和 1 年死亡率升高相关。
英文原题:Revolutionizing the treatment for nasopharyngeal cancer: the impact, challenges and strategies of stem cell and genetically engineered cell therapies.
鼻咽癌(NPC)是一种独特的鼻咽部恶性肿瘤,与 EB 病毒(EBV)感染持续相关。
鼻咽癌(NPC)是一种发生于鼻咽部的独特恶性肿瘤,始终与 Epstein-Barr 病毒(EBV)感染相关。其独特解剖位置和复杂病因常导致患者初诊时已处于晚期。放疗(RT)和化疗虽是主要治疗方法,但常无法预防肿瘤复发和转移,因此治疗失败率和死亡率较高。CAR-T 细胞治疗等近期细胞疗法在血液系统恶性肿瘤中显示出巨大前景,目前也正在研究用于 NPC。然而,靶向特异性肿瘤抗原、T 细胞持久性和增殖能力有限,以及治疗相关毒性管理等挑战仍待解决。仍需广泛研究,以增强这些疗法的疗效和安全性,为将其纳入 NPC 标准临床实践铺平道路,从而改善 NPC 管理并提高患者生活质量。
Nasopharyngeal carcinoma (NPC) is a distinct malignancy of the nasopharynx and is consistently associated with the Epstein-Barr virus (EBV) infection. Its unique anatomical location and complex aetiology often result in advanced-stage disease at first diagnosis. While radiotherapy (RT) and chemotherapy have been the mainstays of treatment, they often fail to prevent tumour recurrence and metastasis, leading to high rates of treatment failure and mortality. Recent advancement in cell-based therapies, such as chimeric antigen receptor (CAR)-T cell therapy, have shown great promise in hematological malignancies and are now being investigated for NPC. However, challenges such as targeting specific tumour antigens, limited T cell persistence and proliferation, and managing treatment-related toxicities must be addressed. Extensive research is needed to enhance the effectiveness and safety of these therapies, paving the way for their integration into standard clinical practice for better management of NPC and a better quality of life for human health.
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