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:Long-Term Survivorship After Chimeric Antigen Receptor T-Cell Therapy for Hematologic Malignancies.
Long-Term Survivorship After Chimeric Antigen Receptor T-Cell Therapy for Hematologic Malignancies.
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临床试验和真实世界证据已确立嵌合抗原受体(CAR)T细胞疗法可降低血液系统恶性肿瘤进展风险,并在部分情境下延长总生存期。然而,近期研究指出,长期缓解患者仍面临发病和非复发死亡风险,主要原因是感染及后续髓系恶性肿瘤。此外,这些患者也可能曾接受化疗、放疗和/或干细胞移植,因而有广泛的生存期照护需求。本文为CAR-T 治疗后长期缓解患者的照护提出路线图,并讨论未来研究方向。
Clinical trials and real-world evidence have established the benefit of chimeric antigen receptor (CAR) T-cell therapy to reduce progression of hematologic malignancies and, in some settings, increase overall survival.
However, recent studies have highlighted that patients in long-term remission remain at risk of morbidity and nonrelapse mortality, primarily because of infections and subsequent myeloid malignancies.
In addition, these patients may also be survivors of chemotherapy, radiation, and/or stem-cell transplant, with broad survivorship needs.
Here, we provide a roadmap for the care of patients in long-term remission after CAR-T-cell therapies and discuss avenues for future research.
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