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造血干细胞移植与CAR-T细胞治疗新模式的探索与实践
Exploration and practice of combining hematopoietic stem cell transplantation and CAR-T cell therapy
【摘要】 造血干细胞移植(HSCT)和嵌合抗原受体T(CAR-T)细胞疗法是血液系统恶性肿瘤的重要治疗手段,但单一疗法仍面临复发率高和毒性反应等挑战。文章系统探讨了CAR-T与HSCT联合应用的协同机制及临床价值,重点分析了HSCT桥接CAR-T细胞治疗、CAR-T细胞治疗序贯异基因HSCT一体化方案等策略在提升疗效和降低复发风险中的作用,为优化血液肿瘤综合治疗方案提供新思路。
【Abstract】 Hematopoietic stem cell transplantation(HSCT) and chimeric antigen receptor T(CAR-T) cell therapy are pivotal treatments for hematologic malignancies. However, monotherapy still faces challenges such as high relapse rates and toxic side effects. This article systematically explores the synergistic mechanisms and clinical value of combining CAR-T therapy with HSCT, with a focus on strategies like HSCT bridging CAR-T cell therapy and the integrated sequential approach of CAR-T cell therapy followed by allogeneic HSCT. These approaches demonstrate enhanced efficacy and reduced relapse risk, offering new perspectives for optimizing comprehensive treatment regimens for hematologic tumors.
【Key words】 chimeric antigen receptor T cell therapy; hematopoietic stem cell transplantation; bridging therapy; sequential therapy;
- 【文献出处】 临床血液学杂志 ,Journal of Clinical Hematology , 编辑部邮箱 ,2025年09期
- 【分类号】R457.7;R733
- 【下载频次】56