Open Access

Tableau II

Effets indésirables des CAR-T (d’aprés [46]).

Risque Exemples d’approche
On target/off tumor (Sur la cible mais hors tumeur) Identification de cibles spécifiques Expression conditionnelle du CAR
Génotoxicité Utilisation de vecteurs lentiviraux
Relargage cytokinique (Cytokine Release Syndrome) Diminution de la dose Injection locorégionale
Syndrome de neurotoxicité (Immune effector Cell-Associated Neurotoxicity Syndrome) Diminution de la dose Injection locorégionale
Syndrome de lyse tumorale (Tumor Lysis Syndrome) Anaphylaxie Gène suicide ou mimotope

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