Cytokine Release Syndrome: Current Perspectives

被引:119
|
作者
Murthy, Hemant [1 ,2 ]
Iqbal, Madiha [1 ,2 ]
Chavez, Julio C. [3 ]
Kharfan-Dabaja, Mohamed A. [1 ,2 ]
机构
[1] Mayo Clin, Div Hematol Oncol, 4500 San Pablo Rd,Mangurian Bdg 3rd Floor, Jacksonville, FL 32224 USA
[2] Mayo Clin, Blood & Marrow Transplantat Program, 4500 San Pablo Rd,Mangurian Bdg 3rd Floor, Jacksonville, FL 32224 USA
[3] H Lee Moffitt Canc Ctr & Res Inst, Dept Malignant Hematol, Tampa, FL USA
关键词
cytokine release syndrome; chimeric antigen receptor T-cell therapy; T-CELL THERAPY; A(3) ADENOSINE RECEPTOR; ANTIBODY; IL-6; MANAGEMENT; SAFETY; REMISSIONS; TOXICITIES; BIOMARKERS; SERUM;
D O I
10.2147/ITT.S202015
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Chimeric antigen receptor T cell (CART) therapy represents a novel and a paradigm-shifting approach to treating cancer. Recent clinical successes have widened the applicability of CD19 CART cells for the treatment of relapsed/refractory B-cell NHL, namely tisagenleclucel and axicabtagene ciloleucel. Tisagenleclucel is also approved for relapsed and/or refractory B-ALL up to age 25. CART therapy is associated with unique and potentially life-threatening toxicities, notably cytokine release syndrome (CRS). A better understanding of the pathogenesis of CRS is crucial to ensure proper management. In this review, CRS definitions, profiles, risk factors and grading systems are discussed. Finally, current and novel investigational approaches and therapies for CRS are summarized.
引用
收藏
页码:43 / 52
页数:10
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