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一例 CAR-T 细胞治疗后致死性暴发性脑水肿

英文原题:A Case of Fulminant Cerebral Edema Leading to Death After Chimeric Antigen Receptor T-Cell Therapy.

查看英文原题

A Case of Fulminant Cerebral Edema Leading to Death After Chimeric Antigen Receptor T-Cell Therapy.

PubMed 2024/12/02(内容时间) J Hematol Q4 · IF 1.2(JCR 2025)

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中文摘要

嵌合抗原受体(CAR)T细胞疗法改变了难治性B细胞恶性肿瘤治疗,但会使患者面临放大免疫反应所致的副作用风险。暴发性脑水肿(FCE)是CAR-T 治疗后最罕见但最具破坏性的副作用之一。由于罕见,FCE尚未得到充分表征,其发生相关危险因素也尚未完全明确。本文报告一例42岁男性在CAR-T 细胞输注后死于FCE的病例,旨在更好理解输注前后哪些患者发生FCE的风险可能较高。

展开英文摘要原文

Chimeric antigen receptor (CAR) T-cell therapy has transformed treatment of refractory B-cell malignancies; however, treatment puts patients at risk for side effects secondary to the amplified immune response it induces. Fulminant cerebral edema (FCE) is one of the rarest, yet most devastating side effects following CAR T-cell therapy. Due to this rarity, FCE has not been well characterized and the risk factors associated with its development are not fully understood.

Here, we present a case of a 42-year-old male who passed away from FCE following CAR T-cell infusion with the primary goal to better understand which patients are at higher risk of developing FCE before and after infusion.

论文信息

作者
Hickmann K、DiLeo R、Faringer K、Peterson C、Khan C、Samhouri Y
第一作者单位
Drexel University College of Medicine, Philadelphia, PA, USA.United States
通讯作者单位
Division of Hematology and Cellular Therapy, Allegheny Health Network Cancer Institute, Pittsburgh, PA, USA.United States
文献类型
病例报告
期刊
Journal of hematology2024 Dec
原文标识
PubMed 39697685 · DOI 10.14740/jh1367