Infectious Complications and Preventative Strategies following Chimeric Antigen Receptor T-cells (CAR-T cells) Therapy for B-Cell Malignancies.

Q1 Medicine
Alfadil Haroon, Ibrahim N Muhsen, Muhammad B Abid, Abdulwahab Albabtain, Ali Alahmari, Syed O Ahmed, Riad E Fakih, Mahmoud Aljurf
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引用次数: 2

Abstract

Several chimeric antigen receptor T-cell constructs (CAR-T cells) are currently approved for the treatment of B-cell malignancies, including non-Hodgkin lymphoma and acute lymphoblastic leukemia. Additionally, multiple other products are being investigated and developed for other hematological malignancies and solid cancers. Patients receiving CAR-T cells are at increased risk of infectious complications that lead to increased morbidity and inferior mortality in these patients. In this review, we discuss the literature on the incidence and types of infection in patients in the early and late-phase after CAR-T cells infusion. Additionally, we summarize the current literature on prophylaxis against viral, bacterial, and fungal infections after CAR-T cells infusion and the utility of preventative and supportive measures including intravenous immunoglobulins and myeloid growth factors.

CAR-T细胞治疗b细胞恶性肿瘤后的感染并发症及预防策略
几种嵌合抗原受体t细胞构建物(CAR-T细胞)目前被批准用于治疗b细胞恶性肿瘤,包括非霍奇金淋巴瘤和急性淋巴细胞白血病。此外,多种其他产品正在研究和开发用于其他血液恶性肿瘤和实体癌症。接受CAR-T细胞治疗的患者感染并发症的风险增加,导致这些患者的发病率增加,死亡率降低。在这篇综述中,我们讨论了CAR-T细胞输注后早期和晚期患者感染的发生率和类型的文献。此外,我们总结了目前关于CAR-T细胞输注后预防病毒、细菌和真菌感染的文献,以及静脉注射免疫球蛋白和骨髓生长因子等预防和支持措施的效用。
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来源期刊
CiteScore
4.30
自引率
0.00%
发文量
0
审稿时长
27 weeks
期刊介绍: Hematology Oncology and Stem Cell Therapy is an international, peer-reviewed, open access journal that provides a vehicle for publications of high-quality clinical as well as basic science research reports in hematology and oncology. The contents of the journal also emphasize the growing importance of hematopoietic stem cell therapy for treatment of various benign and malignant hematologic disorders and certain solid tumors.The journal prioritizes publication of original research articles but also would give consideration for brief reports, review articles, special communications, and unique case reports. It also offers a special section for clinically relevant images that provide an important educational value.
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