Improving the safety of CAR-T-cell therapy: The risk and prevention of viral infection for patients with relapsed or refractory B-cell lymphoma undergoing CAR-T-cell therapy

被引:2
|
作者
Qian, Hu [1 ,2 ]
Yang, Xingcheng [1 ,2 ]
Zhang, Tingting [3 ,4 ,5 ]
Zou, Ping [6 ]
Zhang, Yicheng [1 ,2 ]
Tian, Weiwei [4 ,5 ]
Mao, Zekai [1 ,2 ,8 ]
Wei, Jia [1 ,2 ,4 ,5 ,7 ]
机构
[1] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Hematol, Wuhan, Peoples R China
[2] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Immunotherapy Res Ctr Hematol Dis Hubei Prov, Wuhan, Peoples R China
[3] Third Hosp Shanxi Med Univ, Shanxi Bethune Hosp, Tongji Shanxi Hosp, Shanxi Acad Med Sci,Canc Ctr, Taiyuan, Peoples R China
[4] Third Hosp Shanxi Med Univ, Shanxi Bethune Hosp, Tongji Shanxi Hosp, Shanxi Acad Med Sci,Dept Hematol, Taiyuan, Peoples R China
[5] Shanxi Bethune Hosp, Shanxi Acad Med Sci, Sino German Joint Oncol Res Lab, Taiyuan, Shanxi, Peoples R China
[6] Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Hematol, Wuhan, Peoples R China
[7] Third Hosp Shanxi Med Univ, Shanxi Bethune Hosp, Tongji Shanxi Hosp, Shanxi Acad Med Sci,Dept Hematol, Taiyuan 030032, Shanxi, Peoples R China
[8] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Hematol, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China
基金
中国国家自然科学基金;
关键词
TIXAGEVIMAB-CILGAVIMAB; IMMUNE RECONSTITUTION; CLINICAL-ASPECTS; CHILDREN; RECOMMENDATIONS; MANAGEMENT; LEUKEMIA; DISEASE; MALIGNANCIES; ASSOCIATION;
D O I
10.1002/ajh.27198
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Chimeric antigen receptor (CAR) T-cell therapy, an innovative immunotherapeutic against relapsed/refractory B-cell lymphoma, faces challenges due to frequent viral infections. Despite this, a comprehensive review addressing risk assessment, surveillance, and treatment management is notably absent. This review elucidates immune response compromises during viral infections in CAR-T recipients, collates susceptibility risk factors, and deliberates on preventive strategies. In the post-pandemic era, marked by the Omicron variant, new and severe threats to CAR-T therapy emerge, necessitating exploration of preventive and treatment measures for COVID-19. Overall, the review provides recommendations for viral infection prophylaxis and management, enhancing CAR-T product safety and recipient survival. Risk factors and prevention recommendations for viral infections in CAR T-cell therapy.image
引用
收藏
页码:662 / 678
页数:17
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