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CAR-T 细胞治疗 T 细胞急性淋巴细胞白血病/淋巴瘤的临床结局与安全性

英文原题:Clinical outcomes and safety of CAR-T cells in treatment of T-Cell acute lymphoblastic leukemia/lymphoma.

查看英文原题

Clinical outcomes and safety of CAR-T cells in treatment of T-Cell acute lymphoblastic leukemia/lymphoma.

PubMed 2024/12/18(内容时间) Ann Hematol Q3 · IF 2.3(JCR 2025)

研究概要

复发或难治性 T 细胞急性淋巴细胞白血病/淋巴瘤(r/r T-ALL/LBL)常具有侵袭性,且与不良预后相关。

中文摘要

复发或难治性T细胞急性淋巴细胞白血病/淋巴瘤(r/r T-ALL/LBL)常具有侵袭性,预后不良。泛靶向嵌合抗原受体(CAR)T细胞疗法在临床试验中显示出良好前景。近年来,CD7 CAR-T和CD5 CAR-T治疗伴骨髓浸润的r/r T-ALL/LBL患者显示疗效。然而,近半数r/r T-ALL/T-LBL患者伴有髓外病变(EMD),而CAR-T疗法对此类患者的疗效和安全性数据仍有限。此外,CD7 CAR-T和CD5 CAR-T可能导致严重免疫缺陷及血液学毒性,并造成免疫重建困难。本综述深入分析CAR-T治疗r/r T-ALL/LBL的安全性特征和不良事件,尤其关注其对伴EMD患者的影响。

展开英文摘要原文

Relapsed or refractory T-cell acute lymphoblastic leukemia/lymphoma (r/r T-ALL/LBL) are frequently aggressive and associated with unfavorable prognoses. Pan-targeted Chimeric Antigen Receptor (CAR) T-cell therapy have shown promising results in clinical trials. In recent years, CD7 CAR T-cell and CD5 CAR T-cell demonstrate effectiveness in treating r/r T-ALL/LBL patients with bone marrow infiltration. However, nearly half of r/r T-ALL/T-LBL patients are accompanied by extramedullary disease (EMD), where comprehensive data on the efficacy and safety of CAR T-cell therapy remain limited. Additionally, CD7 CAR T-cell and CD5 CAR T-cell therapy can cause severe immunodeficiency and hematologic toxicity, complicating with difficult immune reconstitution. This review provides an in-depth analysis of the safety profile and adverse events associated with CAR T-cell therapy in r/r T-ALL/LBL, with a a particular emphasis on its impact in patients with EMD.

论文信息

作者
Ma JF、Yan CL、Jia X、Zhu HJ、Yan JW、Liu MJ、Zhang DY、Liu SH
第一作者单位
Jining No.1 People'hospital, Jining, China.China
通讯作者单位
National Clinical Research Center for Hematologic Diseases, Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China. slxue@suda.edu.cn.China
文献类型
综述
期刊
Annals of hematology2025 Jan
原文标识
PubMed 39692783 · DOI 10.1007/s00277-024-06132-w