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:Anti-infective vaccination strategies in patients with haematological malignancies or solid tumours: updated guideline of the Infectious Diseases Working Party of the German Society for Hematology and Medical Oncology.
疫苗可预防的感染仍是癌症患者发病和死亡的主要原因。
疫苗可预防的感染仍是癌症患者发病和死亡的主要原因。德国血液学和肿瘤内科学会感染性疾病工作组更新的癌症患者抗感染疫苗接种策略指南由一个由内科、血液学、肿瘤内科学和感染性疾病专家组成的指南小组制定。对于既往已涵盖的疫苗,我们纳入了自2017年以来所有关于癌症患者的研究发表文献,因为这是前一版指南的数据截止时间;对于新纳入的疫苗,则对所有发表文献进行了审查。在数据提取和批判性讨论后,按照标准化国际分级系统对推荐意见进行了分级。本次更新引入了总体推荐意见、最佳接种时机、减毒活疫苗的潜在使用以及患者密切接触者和家庭成员免疫接种。此外,还新增了针对实体瘤患者和血液系统恶性肿瘤患者的专门章节。针对接受新型治疗(如酪氨酸激酶抑制剂、双特异性抗体和CAR-T 细胞)的患者,增加了相关指导。本指南回应了减少疫苗可预防疾病的紧迫医疗需求,旨在提高癌症患者及其照护者的疫苗接种率。
Vaccine-preventable infections remain a major cause of morbidity and mortality in patients with cancer. The updated guideline for anti-infective vaccination strategies in patients with cancer of the German Society of Hematology and Medical Oncology Infectious Diseases Working Group was developed by a guideline panel of experts in internal medicine, haematology, medical oncology, and infectious diseases. For previously covered vaccinations, we included all publications in patients with cancer starting from 2017, as this was the data cutoff for the previous guideline, and for newly included vaccines all publications were reviewed. After data extraction and critical discussion, the recommendations were graded following a standardised international grading system. This update introduces general recommendations, optimal vaccination timing, potential use of live vaccines, and immunisation of close contacts and household members of patients. Moreover, specific sections for patients with solid tumours and patients with haematological malignancies have been introduced. Guidance has been added for patients receiving novel therapies such as tyrosine kinase inhibitors, bispecific antibodies, and chimeric antigen receptor T cells. This guideline addresses the urgent medical need to reduce vaccine-preventable diseases and aims to improve vaccination uptake among patients with cancer and their caregivers.
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