JACC:CAR-T疗法与不良心血管事件的相关性研究

2019-12-21 不详 MedSci原创

嵌合抗原受体重定向T细胞(CAR-T)用于靶向治疗肿瘤细胞,本研究的目的旨在评估CAR-T可能的心脏毒性。本研究纳入分析了137名接受了CAR-T治疗的患者,心脏毒性定义为左室射血分数的降低或血清肌钙蛋白水平的增高。患者的平均年龄为62岁(男性占67%,88%患有淋巴瘤,8%患有骨髓瘤)。近50%的患者接受的是商业CAR-T治疗,剩下的接受的是非商业CAR-T治疗。细胞因子释放综合征(CRS)出现

嵌合抗原受体重定向T细胞(CAR-T)用于靶向治疗肿瘤细胞,本研究的目的旨在评估CAR-T可能的心脏毒性。

本研究纳入分析了137名接受了CAR-T治疗的患者,心脏毒性定义为左室射血分数的降低或血清肌钙蛋白水平的增高。患者的平均年龄为62岁(男性占67%,88%患有淋巴瘤,8%患有骨髓瘤)。近50%的患者接受的是商业CAR-T治疗,剩下的接受的是非商业CAR-T治疗。细胞因子释放综合征(CRS)出现在接受CAR-T治疗后平均5天内,有56名CRS患者接受了Tocilizumab治疗,有54%患者出现了血清肌钙蛋白水平的增高,28%患者的左室射血分数出现降低,这些情况均出现在CRS等级≥2的患者中。

研究结果显示,在接受CAR-T治疗的成年患者中,会出现心肌损伤和不良心血管事件,细胞因子释放综合征、血清肌钙蛋白和不良心血管事件呈相关性。

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    2020-06-17 仁者大医
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    2020-03-12 hbwxf
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    2019-12-22 yjs木玉

    好好好好好好

    0

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