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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:CD19-targeting chimeric antigen receptor T-cell therapy is safe and effective for intra-cardiac B cell non-Hodgkin lymphoma.
CD19-targeting chimeric antigen receptor T-cell therapy is safe and effective for intra-cardiac B cell non-Hodgkin lymphoma.
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引言:CAR-T 细胞疗法治疗B细胞血液肿瘤高度有效,但由于潜在心脏毒性和假性进展,其在心腔内淋巴瘤中的安全性和疗效数据有限。 讨论:本文介绍4例高危病例的管理过程,采用了多学科方法,包括基线心脏风险评估、多模态心脏影像和血清心脏生物标志物监测、计划性重症监护支持,以及早期处理细胞因子释放综合征。 结论:CAR-T 疗法可有效、安全地治疗伴有心腔内病灶的B细胞血液系统恶性肿瘤。
INTRODUCTION: Chimeric antigen receptor T-cell (CAR-T) therapy is highly effective in B-cell blood cancers, but there is limited data on its safety and efficacy in intra-cardiac lymphoma, due to the potential risks of cardiotoxicity and pseudo-progression. DISCUSSION: We discuss four high-risk cases that were managed with a multi-disciplinary approach, including baseline cardiac risk assessment and surveillance with multimodal cardiac imaging and serum cardiac biomarkers, elective supportive care in the intensive care unit, and early treatment of cytokine release syndrome. CONCLUSION: CAR-T therapy can be effective and safe in the treatment of B-cell blood cancers with intra-cardiac disease.
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