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CAR T-cell treatment during the COVID-19 pandemic: Management strategies and challenges

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单位: [1]Zhejiang Univ, Affiliated Hosp 1, Bone Marrow Transplantat Ctr, Sch Med, 79 Qingchun Rd, Hangzhou, Peoples R China [2]Zhejiang Prov Engn Lab Stem Cell & Immun Therapy, Hangzhou, Peoples R China [3]Zhejiang Univ, Inst Hematol, Hangzhou, Peoples R China [4]Zhejiang Univ, Collaborat Innovat Ctr Diag & Treatment Infect Di, State Key Lab Diag & Treatment Infect Dis,Affliat, Natl Clin Res Ctr Infect Dis,Dept Infect Dis, Hangzhou, Zhejiang, Peoples R China [5]Capital Med Univ, Beijing Tiantan Hosp, Dept Hematol, Beijing, Peoples R China [6]Huazhong Univ Sci & Technol, Dept Hematol, Tongji Hosp, Tongji Med Coll, Wuhan, Peoples R China [7]Chinese Acad Med Sci, Inst Hematol, State Key Lab Expt Hematol, Tianjin, Peoples R China [8]Chinese Acad Med Sci, Blood Dis Hosp, Tianjin, Peoples R China [9]Peking Union Med Coll, Tianjin, Peoples R China [10]Army Med Univ, Xinqiao Hosp, Med Ctr Hematol, Chongqing, Peoples R China [11]Shanghai Tongji Hosp, Dept Hematol, Shanghai, Peoples R China [12]Peking Univ Third Hosp, Dept Hematol, Beijing, Peoples R China [13]Southern Med Univ, Dept Hematol, Zhujiang Hosp, Guangzhou, Peoples R China [14]Aix Marseille Univ, Transplant & Cellular Immunotherapy Programs, Dept Hematol, CNRS,INSERM,CRCM,Inst Paoli Calmettes, Marseille, France [15]Sorbonne Univ, Dept Hematol, Hop St Antoine, Paris, France [16]CEREST TC, INSERM, EBMT Paris Study Off, UMRs 938, Paris, France [17]Chaim Sheba Med Ctr, Hematol & Bone Marrow Transplantat Div, Tel Hashomer, Israel
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关键词: Chimeric antigen receptor T-cells COVID-19 Relapsed/refractory hematological malignancies Immunocompromised Cytokine release syndrome

摘要:
The pandemic of coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is spreading rapidly across the world. Currently, the COVID-19 pandemic is affecting the continuity of essential routine healthcare services and procedures, including chimeric antigen receptor T-cell (CAR-T) therapy, a life-saving option for patients with relapsed/refractory (R/R) hematologic malignancies. Due to the rapid disease progression of hematological malignancies, there is an urgent need to manufacture and utilize CAR T-cells. However, CAR-T treatment has become extraordinarily challenging during this COVID-19 pandemic. Thus, many medical and technical factors must now be taken into consideration before, during, and after CAR-T therapy. The purpose of this review is to provide brief suggestions for rational decision-making strategies in evaluating and selecting CAR T-cell treatment and appropriate CAR T-cell products, and protective strategies for medical staff and patients to prevent infection in the midst of the current COVID-19 pandemic. (C) 2020 Published by Elsevier Masson SAS.

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基金编号: 81770201 81730008 2018C03016-2

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出版当年[2019]版
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
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Q3 MEDICINE, RESEARCH & EXPERIMENTAL
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Q2 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者:
第一作者单位: [1]Zhejiang Univ, Affiliated Hosp 1, Bone Marrow Transplantat Ctr, Sch Med, 79 Qingchun Rd, Hangzhou, Peoples R China [2]Zhejiang Prov Engn Lab Stem Cell & Immun Therapy, Hangzhou, Peoples R China [3]Zhejiang Univ, Inst Hematol, Hangzhou, Peoples R China
通讯作者:
通讯机构: [1]Zhejiang Univ, Affiliated Hosp 1, Bone Marrow Transplantat Ctr, Sch Med, 79 Qingchun Rd, Hangzhou, Peoples R China [2]Zhejiang Prov Engn Lab Stem Cell & Immun Therapy, Hangzhou, Peoples R China [3]Zhejiang Univ, Inst Hematol, Hangzhou, Peoples R China
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