宝贝,你可以驱动我的CAR-T细胞。

IF 1.9 4区 医学 Q3 RHEUMATOLOGY
Lupus Pub Date : 2025-06-01 Epub Date: 2025-04-16 DOI:10.1177/09612033251335798
Daniela Garelick, David A Isenberg
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引用次数: 0

摘要

目的评估嵌合抗原受体t细胞(CAR-T)疗法在系统性红斑狼疮(SLE)治疗中的潜力,并概述其实施的必要步骤。方法仔细查阅已发表的相关英文文献。结果初步数据表明CAR-T治疗可显著改善SLE预后。SLE患者的临床和血清学均有显著改善,所有接受治疗的患者均获得缓解,并停止使用常规类固醇和免疫抑制药物。为了实现这一潜力,必须推进我们对CAR-T疗法的理解和应用。必须进行严格的研究以验证当前的发现,并且必须进行临床试验以评估不同人群的短期和长期疗效和安全性。确定合适的患者群体是至关重要的,因为CAR-T也可能解决依从性问题。尽管目前成本很高,但其财务负担与严重SLE治疗的长期成本相当。目前正在探索降低成本的战略,包括提高生产效率和门诊治疗方案。早期干预可提高其可行性及对远期预后的影响。结论car - t疗法有望改变SLE的预后,并有可能治愈SLE。然而,需要大量的努力来验证其有效性,确保安全性,确定合适的患者队列,并减少财政障碍。这一进展代表了SLE治疗的一个令人兴奋的进步,迫切需要重点研究和临床应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Baby you can drive my CAR-T cells.

ObjectiveTo evaluate the potential of chimeric antigen receptor T-cell (CAR-T) therapy in revolutionizing the treatment of systemic lupus erythematosus (SLE) and to outline necessary future steps for its implementation.MethodsA careful literature search was conducted for relevant English language papers on pubmed.ResultsPreliminary data suggest that CAR-T therapy could significantly improve SLE outcomes. Demonstrating remarkable clinical and serologic improvements in SLE patients, with all treated patients achieving remission and discontinuing conventional steroids and immunosuppressive drugs. To realize this potential, it is imperative to advance our understanding and application of CAR-T therapy. Rigorous research is necessary to validate current findings, and clinical trials must be conducted to assess both the short- and long-term efficacy and safety across diverse populations. Identifying appropriate patient populations is crucial, as CAR-T may also address compliance issues. Despite its current high cost, the financial burden is comparable to the long-term costs of severe SLE treatment. Strategies to reduce costs, including production efficiencies and outpatient treatment options, are under exploration. Early intervention could enhance its feasibility and impact on long-term prognosis.ConclusionCAR-T therapy holds promise for altering the prognosis of SLE and potentially offering a cure. However, substantial efforts are required to validate its efficacy, ensure safety, identify suitable patient cohorts, and reduce financial barriers. This development represents an exciting advancement in SLE treatment, necessitating urgent and focused research and clinical application.

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来源期刊
Lupus
Lupus 医学-风湿病学
CiteScore
4.20
自引率
11.50%
发文量
225
审稿时长
1 months
期刊介绍: The only fully peer reviewed international journal devoted exclusively to lupus (and related disease) research. Lupus includes the most promising new clinical and laboratory-based studies from leading specialists in all lupus-related disciplines. Invaluable reading, with extended coverage, lupus-related disciplines include: Rheumatology, Dermatology, Immunology, Obstetrics, Psychiatry and Cardiovascular Research…
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