Incamake Yuzuye yo Kuvura Indwara ya Leukemia
Ibimenyetso bya CAR-T
●B-selile acute lymphoblastique leukemia
●Myeloma nyinshi
●Indwara ya lymphocytike idakira
●Lymphoma itari Hodgkin
●Diffuse nini ya B-selile lymphoma
●SLE (Sisitemu Lupus Erythematosus)
●Myasthenia gravis
●Izindi ndwara ziterwa na autoimmune
Imikorere myiza ya CAR-T ivuriro
Ibyerekana CD19 + 20CAR-T:Abarwayi bafite lymphoma ya B-selile itari Hodgkin
Ukwezi kumwe igipimo cya CR | Ukwezi kumwe igipimo cya PR | Ukwezi kumwe cyangwa igipimo | CRS≥3 | CRES≥3 |
71,95% (59/82) | 25.6 (21/82) | 97.55 (80/82) | 12.19% (10/82) | 0 |
Ibyerekana CD19 + 22CAR-T:Umuti wa CD19 wongeye kwisubiraho no gukara abarwayi ba leukemia B-lymphocytike
Ukwezi kumwe igipimo cya CR | Ukwezi kumwe igipimo cya PR | Ukwezi kumwe cyangwa igipimo | CRS≥3 | CRES≥3 |
92.1% (35/38) | 7.9% (3/38) | 100% (38/38) | 15,79% (6/38) | 0 |
Ibyerekana kuri BCMACAR-T:Umuti wongeye gusubiramo no kwanga myeloma myinshi
Ukwezi kumwe igipimo cya CR | Ukwezi kumwe igipimo cya PR | Ukwezi kumwe cyangwa igipimo | CRS≥3 | CRES≥3 |
72.41% (21/29) | 27.59% (29/8) | 100% (29/29) | 6.9% (29/2) | 0 |
Ibyiza byacu
● Umuti Wihariye: Buri muti wa CAR-T wateguwe kumurwayi, ukemeza neza ibisubizo byiza kandi bivura.
● Amahitamo atandukanye: Hamwe na antigene zitandukanye zigamije, harimo CD7, CD19, CD20, CD22, na BCMA, ibicuruzwa byacu CAR-T bitanga ibintu byinshi bitagereranywa mukuvura indwara mbi ziterwa na hematologiya n'indwara ziterwa na autoimmune.
● Intsinzi yubuvuzi bwagaragaye.
● Igiciro Cyinshi-Cyiza: Dutanga amahirwe yo gupiganwa hamwe nubuvuzi buhanitse bwo kuvura kubiciro byoroshye ugereranije nibindi bicuruzwa CAR-T ku isoko.
● Gukata-Ikoranabuhanga: Twifashishije iterambere rigezweho mu buhanga bwa genetike, imiti yacu CAR-T ikubiyemo ejo hazaza ha kanseri no kuvura indwara ziterwa na autoimmune.
● Inkunga y'inzobere: Itsinda ryacu ry'inararibonye ry'abaganga n'abashakashatsi ritanga ubuvuzi bwuzuye uhereye kubujyanama bwambere binyuze mubuyobozi bwo kuvura no kubikurikirana.
Ingirabuzimafatizo za CAR-T ubu zizwi cyane kubera imikorere yazo ku barwayi batitabira imiti gakondo nka chimiotherapie cyangwa transplantation yo mu magufa. Umuryango w’ubuvuzi ku isi uremera ubushobozi bukomeye bwo kuvura CAR-T mu guhindura umusaruro w’abarwayi.
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