实用医学杂志 ›› 2022, Vol. 38 ›› Issue (13): 1707-1710.doi: 10.3969/j.issn.1006⁃5725.2022.13.027

• 综述 • 上一篇    下一篇

CAR⁃T 疗法在风湿免疫性疾病中应用的研究进展

崔家康1 高青杰2 孟庆良1   

  1. 1 河南省中医院(郑州 450002);2 河南中医药大学(郑州 450046)

  • 出版日期:2022-07-10 发布日期:2022-07-10
  • 通讯作者: 孟庆良 E⁃mail:892105241@qq.com
  • 基金资助:
    国家自然科学基金(编号:81874456);河南省中医院博士基金(编号:2021BSJJ02);河南省重大专项(编号:20⁃21ZYZD05);河南省卫生健康委国家中医临床研究基地科研专项(编号:2021JDZX2079);河南省中医药拔尖人才培养项目

Effect of CAR ⁃T therapy on rheumatic immune diseases:A systematic literature review

CUI Jiakang*,GAO Qingjie,MENG Qingliang.   

  1.  He′nan Hospital of Traditional Chinese Medicine,Zhengzhou 450002,China

  • Online:2022-07-10 Published:2022-07-10
  • Contact: MENG Qingliang E⁃mail:892105241@qq.com

摘要:

风湿免疫性疾病是一种主要表现在关节、骨骼、肌肉等部位的慢性炎症性自身免疫病。目前传统慢作用抗风湿药物与生物制剂等药物在疾病的治疗中发挥着积极作用,但仍有部分患者因常规治疗效果不佳或药物不耐受,达不到持续缓解、维持疾病低活动的状态。因此,开展新疗法对此类应答不佳的患者大有裨益。CAR⁃T 疗法作为一种新型的细胞免疫疗法在血液系统恶性肿瘤的治疗中显示出较好的临床疗效,根据其作用机制,也为 RA、SLE、SSc 等风湿免疫性疾病的治疗带来希望。但也有细胞因子风暴、感染率增加、神经毒性等副作用。本文就 CAR⁃T 疗法在部分风湿免疫性疾病的相关研究展开论述,旨在为后续开展CAR⁃T 疗法在风湿免疫性疾病中的相关研究提供依据和思路。

关键词: CAR?T 疗法, 风湿免疫性疾病, 研究进展

Abstract:

Rheumatic immune disease is a chronic inflammatory autoimmune disease mainly affecting joints,bones,muscles and so on. At present,traditional slow ⁃ acting antirheumatic drugs and biological agents play an active role in the treatment of the disease,but for some cases,the therapy with the drugs or agents cannot achieve continuous remission or only maintain a low activity of the disease because of poor therapeutic efficacy or drug intolerance. Therefore,the development of new therapy is of great benefit to such patients with poor response. As a new type of cellular immunotherapy,CAR⁃T therapy shows a good clinical effect in the treatment of hematolog⁃ical malignant tumors. With its mechanism,it also brings hope for the treatment of rheumatic immune diseases such as RA,SLE,SSc and so on,but it leads to some side effects such as cytokine storm,increased infection
rate,neurotoxicity and so on. This paper has systematically reviewed the literature on CAR⁃T therapy for some rheu⁃matic immune diseases in order to provide a new insight into the application of CAR⁃T therapy in the treatment of rheumatic immune diseases in the future.

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