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Cardiotoxicities of Novel Therapies in Hematologic Malignancies: Chimeric Antigen Receptor T-Cell Therapy and Bispecific T-Cell Engager Therapy.

Rosalyn I MararMuhannad Aboud AbbasiSruti Prathivadhi-BhayankaramAndres Daryanani AcevedoHector R VillarragaNandan AnavekarVijaya Raj BhattJonas Paludo
Published in: JCO oncology practice (2023)
The field of malignant hematology is transforming with novel immunotherapeutic approaches. Unfortunately, quality of life, treatment efficacy, and life expectancy are negatively affected by cardiotoxic side effects of treatment. To date, the exact mechanism and incidence of cardiotoxicity associated with these therapies is unclear. These events are believed to be triggered or occur concurrently with cytokine release syndrome. Furthermore, there are no formal guidelines to provide evaluation, treatment, and surveillance. We aim to synthesize available literature with updates on the cardiotoxic effects of novel therapies used in malignant hematologic disorders, with a focus on chimeric antigen receptor T-cell therapy and bispecific T-cell engager therapy, along with a proposed algorithm that may guide pretreatment evaluation, monitoring during treatment, and post-treatment surveillance.
Keyphrases
  • cell therapy
  • public health
  • stem cells
  • systematic review
  • mesenchymal stem cells
  • deep learning
  • bone marrow
  • replacement therapy
  • molecular dynamics
  • clinical practice
  • density functional theory