决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Clinical outcomes and safety of CAR-T cells in treatment of T-Cell acute lymphoblastic leukemia/lymphoma.
Clinical outcomes and safety of CAR-T cells in treatment of T-Cell acute lymphoblastic leukemia/lymphoma.
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。
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。
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.
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