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CAR-T 细胞治疗:不良反应管理与挑战应对

英文原题:CAR-T Cell Therapy: Managing Side Effects and Overcoming Challenges.

查看英文原题

CAR-T Cell Therapy: Managing Side Effects and Overcoming Challenges.

PubMed 2025/04/30(内容时间) Adv Biomed Res Q4 · IF 1.1(JCR 2025)

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中文摘要

CAR-T(CAR-T)细胞疗法是一种创新且有前景的癌症治疗方法。临床试验取得了显著成果,为传统疗法已无效的患者带来希望。然而,这种新疗法也面临挑战,并伴有显著副作用。细胞因子释放综合征(CRS)是CAR-T 细胞疗法广泛认可且影响重大的副作用。神经毒性也是潜在副作用,可使部分患者出现意识混乱和癫痫发作。贫血和血小板减少等血液学毒性可增加出血或感染风险。还可能发生B细胞再生障碍,导致感染易感性增加。降低毒性发生率和严重程度的策略包括自杀开关、内源性开关和外源性开关,可调节免疫系统对癌症的活性,同时尽量减少毒性。尽管CAR-T 细胞疗法仍面临障碍,该领域的持续研究与开发仍蕴含巨大潜力,有望使其成为更可靠、高效的癌症治疗方法。

展开英文摘要原文

Chimeric antigen receptor T (CAR-T) cell therapy is an innovative and promising approach to treat cancer. Clinical trials have demonstrated remarkable results, providing hope for patients who have exhausted more traditional therapies.

However, this new therapy is not without challenges, as significant side effects have been associated with it. Cytokine release syndrome (CRS) is a widely recognized and consequential side effect of CAR-T cell therapy. Neurological toxicity is another potential side effect that can cause confusion and seizures in some patients. Hematologic toxicities, such as anemia and thrombocytopenia, can increase the risk of bleeding or infection.

B-cell aplasia can also occur, leading to increased vulnerability to infections. Strategies to reduce the incidence and severity of toxicities include suicide, endogenous, and exogenous switches to modulate the activity of the immune system toward cancer while minimizing toxicity. Despite the obstacles faced by CAR-T cell therapy, continuous research and development in this area offer considerable potential for improving this treatment as a more reliable and efficient method for treating cancer.

论文信息

作者
Golmohammadi M、Noorbakhsh N、Kavianpour M
第一作者单位
Department of Applied Cell Sciences and Hematology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.Iran
通讯作者单位
Department of Tissue Engineering and Applied Cell Sciences, School of Medicine, Qom University of Medical Sciences, Qom, Iran.Iran
文献类型
综述
期刊
Advanced biomedical research2025
原文标识
PubMed 40390814 · DOI 10.4103/abr.abr_531_23