DAMPs released by pyroptotic cells as major contributors and therapeutic targets for CAR-T-related toxicities.

DAMPs released by pyroptotic cells as major contributors and therapeutic targets for CAR-T-related toxicities.
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DOI:
10.1038/s41419-021-03428-x
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发表时间:
2021-01-27
影响因子:
9
通讯作者:
Wan X
Wan X
中科院分区:
生物学1区
文献类型:
--
作者:
Deng T;Tang C;Zhang G;Wan X

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CAR-T转移是最近发展良好的免疫疗法,为越来越多的晚期癌症患者提供了实质性的益处。然而,沿着临床应用经验的增加,对潜在致命不良反应的认识也在增加,最显著的是细胞因子释放综合征(CRS)和神经毒性。了解这些毒性的潜在机制有助于改善治疗结果。最近的研究结果强调了单核细胞/巨噬细胞在CAR-T相关毒性(CARTOX)中的重要性,并揭示了由pyroptotic细胞释放的损伤相关分子模式(DAMP)介导的新机制。因此,本综述总结了这些发现,并为CARTOX的管理提供了实际指导。
CAR-T transfer, recently well-developed immunotherapy, has offered substantial benefit to more and more patients with advanced cancers. However, along with growing experience in the clinical application comes the increasing awareness of the potentially fatal adverse effects, most notably cytokine release syndrome (CRS) and neurotoxicity. Understanding the mechanisms underlying these toxicities can help to improve therapeutic outcomes. Recent findings highlight the importance of monocyte/macrophage in CAR-T-related toxicities (CARTOX) and shed light on a novel mechanism mediated by damage-associated molecular patterns (DAMPs) released from pyroptotic cells. Therefore, this review summarizes these findings and provides practical guidance to the management of CARTOX.
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