Terapia con linfocitos T con Car vs quimioterapia en pacientes con leucemia linfoblática aguda

87 páginas : gráficas

Autores:
González Garcés, Alexandra Pahola
Triana Niño, Andrea
Tipo de recurso:
Trabajo de grado de pregrado
Fecha de publicación:
2019
Institución:
Universidad de Ciencias Aplicadas y Ambientales U.D.C.A
Repositorio:
Repositorio Institucional UDCA
Idioma:
spa
OAI Identifier:
oai:repository.udca.edu.co:11158/2744
Acceso en línea:
https://repository.udca.edu.co/handle/11158/2744
Palabra clave:
Leucemia-Linfoma Linfoblástico de Células Precursoras
Linfocitos T
Qumioterapia
Rights
openAccess
License
Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales
id RepoUDCA2_9e3e815c82ff66c10ab22f86d0fb1050
oai_identifier_str oai:repository.udca.edu.co:11158/2744
network_acronym_str RepoUDCA2
network_name_str Repositorio Institucional UDCA
repository_id_str
dc.title.spa.fl_str_mv Terapia con linfocitos T con Car vs quimioterapia en pacientes con leucemia linfoblática aguda
title Terapia con linfocitos T con Car vs quimioterapia en pacientes con leucemia linfoblática aguda
spellingShingle Terapia con linfocitos T con Car vs quimioterapia en pacientes con leucemia linfoblática aguda
Leucemia-Linfoma Linfoblástico de Células Precursoras
Linfocitos T
Qumioterapia
title_short Terapia con linfocitos T con Car vs quimioterapia en pacientes con leucemia linfoblática aguda
title_full Terapia con linfocitos T con Car vs quimioterapia en pacientes con leucemia linfoblática aguda
title_fullStr Terapia con linfocitos T con Car vs quimioterapia en pacientes con leucemia linfoblática aguda
title_full_unstemmed Terapia con linfocitos T con Car vs quimioterapia en pacientes con leucemia linfoblática aguda
title_sort Terapia con linfocitos T con Car vs quimioterapia en pacientes con leucemia linfoblática aguda
dc.creator.fl_str_mv González Garcés, Alexandra Pahola
Triana Niño, Andrea
dc.contributor.advisor.spa.fl_str_mv Urrego Novoa, José Ricardo, dir.
dc.contributor.author.spa.fl_str_mv González Garcés, Alexandra Pahola
Triana Niño, Andrea
dc.subject.mesh.spa.fl_str_mv Leucemia-Linfoma Linfoblástico de Células Precursoras
Linfocitos T
Qumioterapia
topic Leucemia-Linfoma Linfoblástico de Células Precursoras
Linfocitos T
Qumioterapia
description 87 páginas : gráficas
publishDate 2019
dc.date.issued.spa.fl_str_mv 2019
dc.date.accessioned.spa.fl_str_mv 2020-02-11T13:36:51Z
dc.date.available.spa.fl_str_mv 2020-02-11T13:36:51Z
dc.type.spa.fl_str_mv Trabajo de grado - Pregrado
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/bachelorThesis
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dc.type.content.spa.fl_str_mv Text
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dc.identifier.uri.spa.fl_str_mv https://repository.udca.edu.co/handle/11158/2744
dc.identifier.local.spa.fl_str_mv QF027 G65t 2019 (205830)
url https://repository.udca.edu.co/handle/11158/2744
identifier_str_mv QF027 G65t 2019 (205830)
dc.language.iso.spa.fl_str_mv spa
language spa
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spelling Urrego Novoa, José Ricardo, dir.González Garcés, Alexandra PaholaTriana Niño, Andrea2020-02-11T13:36:51Z2020-02-11T13:36:51Z2019https://repository.udca.edu.co/handle/11158/2744QF027 G65t 2019 (205830)87 páginas : gráficasAbstract: A comparison was made between two therapies for the treatment of lymphoblastic water leukemia in a pediatric population from 2 to 10 compared therapies were the chemotherapy scheme for high, intermediate or standard risk of precursors B and T Vs CAR-T immunological therapy, variables such as effectiveness, efficacy and / or safety profile were evaluated. It was found that these therapies are currently complementary, in order for CAR-T therapy to be more effective, the patient must be pre-conditioned with a chemotherapy scheme or with drugs of this scheme that are immunosuppressive, it was also possible to show that the dose of cells administered CAR-T is essential to avoid serious adverse effects in the patient such as cytokine release syndrome. Methods: A qualitative systematic review was conducted and guided by the protocol of said systematic review approximately 55 articles were evaluated where information on these therapies was collected. Results: Through the prism diagram and search equations, a total of 14 articles were obtained which, when evaluated with the GRADE Scale, identified that there are no studies comparing the chemotherapy scheme and CAR-T, in some of the studies These therapies are complementary, since in order to achieve optimal effectiveness of CAR-T, a pre-conditioning is performed on the patient with a chemotherapy scheme or with some drugs of that scheme that are immunosuppressive. Conclusions: It was found that both therapies can make the patient reach a state of complete remission, just as in both therapies one can relapse after a while even after having achieved a remission.En el presente artículo se describe una comparación entre dos terapias para el tratamiento de la leucemia linfoblastica agua en población pediátrica de 2 a a10 las terapias comparadas fueron el esquema de quimioterapia para riesgo alto, intermedio o estándar de precursores B y T Vs la terapia inmunológica CAR-T, se evaluaron variables como efectividad, eficacia y/o perfil de seguridad. Se encontró que actualmente estas terapias son complementarias, para que la terapia CAR-T tenga mayor eficacia se debe pre acondicionar al paciente con un esquema de quimioterapia o con medicamentos de este esquema que sean inmunosupresores, también se logró evidenciar que la dosis de células administradas de CAR-T es fundamental para evitar efectos adversos graves en el paciente como de síndrome de liberación de citoquinas. Métodos: Se realizo una revisión sistemática cualitativa y guiados bajo el protocolo de dicha revisión sistemática se evaluaron aproximadamente 55 artículos donde se recopilo información de estas terapias. Resultados: Por medio del diagrama prisma y ecuaciones de búsqueda se obtuvieron un total de 14 artículos los cuales al ser evaluados con la Escala GRADE se identifico que no hay estudios que comparen el esquema de quimioterapia y la CAR-T, en algunos de los estudios estos estas terapias son complementarias, ya que para logra una efectividad optima de la CAR-T se realiza un pre acondicionamiento al paciente con un esquema de quimioterapia o con algunos medicamentos de dicho esquema que sean inmunosupresores. Conclusiones: Se encontró que ambas terapias pueden hacer que el paciente llegue a estado de remisión completa, al igual que en ambas terapias se puede tener recaída después de un tiempo incluso después de haber logrado una remisión.Incluye bibliografíaPregradoQuímico(a) Farmacéuticoapplication/pdfspaBogotá : Universidad de Ciencias Aplicadas y Ambientales, 2019Facultad de CienciasQuímica FarmacéuticaDerechos Reservados - Universidad de Ciencias Aplicadas y Ambientaleshttps://creativecommons.org/licenses/by-nc-sa/4.0/info:eu-repo/semantics/openAccessAtribución-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0)http://purl.org/coar/access_right/c_abf2Leucemia-Linfoma Linfoblástico de Células PrecursorasLinfocitos TQumioterapiaTerapia con linfocitos T con Car vs quimioterapia en pacientes con leucemia linfoblática agudaTrabajo de grado - Pregradohttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisinfo:eu-repo/semantics/publishedVersionTexthttp://purl.org/redcol/resource_type/TPhttp://purl.org/coar/version/c_970fb48d4fbd8a85Jiménez-Morales S, Hidalgo-Miranda A, Ramírez-Bello J. 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Available from:https://www.cancer.net/es/tipos-de-c%C3%A1ncer/leucemialinfobl%C3%A1stica-aguda-all-infantil/opciones-de-tratamientoPublicationORIGINALTerapia con linfocitos T con CAR Vs Quimioterapia para pacientes con LLA.pdfTerapia con linfocitos T con CAR Vs Quimioterapia para pacientes con LLA.pdfapplication/pdf1727183https://repository.udca.edu.co/bitstreams/9abceed3-dadd-444e-a326-31bde844f762/downloadc7ea1abde895a0e746401e66e28e018eMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-814775https://repository.udca.edu.co/bitstreams/4d880d58-b327-4bcf-8511-a8e2a9590260/downloadf661acf14bedbf9f5d13897a0387e751MD52TEXTTerapia con linfocitos T con CAR Vs Quimioterapia para pacientes con LLA.pdf.txtTerapia con linfocitos T con CAR Vs Quimioterapia para pacientes con LLA.pdf.txtExtracted texttext/plain138626https://repository.udca.edu.co/bitstreams/ed28dcf2-7c8d-4711-8b50-f1fb5851eee2/downloadb60b72e109dd58d3698da14824440428MD53THUMBNAILTerapia con linfocitos T con CAR Vs 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en las Obras Colectivas;
b.	Distribuir copias o fonogramas de las Obras, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública, incluyéndolas como incorporadas en Obras Colectivas, según corresponda;
c.	Distribuir copias de las Obras Derivadas que se generen, exhibirlas públicamente, ejecutarlas públicamente y/o ponerlas a disposición pública.
Los derechos mencionados anteriormente pueden ser ejercidos en todos los medios y formatos, actualmente conocidos o que se inventen en el futuro. Los derechos antes mencionados incluyen el derecho a realizar dichas modificaciones en la medida que sean técnicamente necesarias para ejercer los derechos en otro medio o formatos, pero de otra manera usted no está autorizado para realizar obras derivadas.Todos los derechos no otorgados expresamente por el Licenciante quedan por este medio reservados, incluyendo pero sin limitarse a aquellos que se mencionan en las secciones 4(d) y 4(e).
4. Restricciones.
La licencia otorgada en la anterior Sección 3 está expresamente sujeta y limitada por las siguientes restricciones:
a.	Usted puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra sólo bajo las condiciones de esta Licencia, y Usted debe incluir una copia de esta licencia o del Identificador Universal de Recursos de la misma con cada copia de la Obra que distribuya, exhiba públicamente, ejecute públicamente o ponga a disposición pública. No es posible ofrecer o imponer ninguna condición sobre la Obra que altere o limite las condiciones de esta Licencia o el ejercicio de los derechos de los destinatarios otorgados en este documento. No es posible sublicenciar la Obra. Usted debe mantener intactos todos los avisos que hagan referencia a esta Licencia y a la cláusula de limitación de garantías. Usted no puede distribuir, exhibir públicamente, ejecutar públicamente, o poner a disposición pública la Obra con alguna medida tecnológica que controle el acceso o la utilización de ella de una forma que sea inconsistente con las condiciones de esta Licencia. Lo anterior se aplica a la Obra incorporada a una Obra Colectiva, pero esto no exige que la Obra Colectiva aparte de la obra misma quede sujeta a las condiciones de esta Licencia. Si Usted crea una Obra Colectiva, previo aviso de cualquier Licenciante debe, en la medida de lo posible, eliminar de la Obra Colectiva cualquier referencia a dicho Licenciante o al Autor Original, según lo solicitado por el Licenciante y conforme lo exige la cláusula 4(c).
b.	Usted no puede ejercer ninguno de los derechos que le han sido otorgados en la Sección 3 precedente de modo que estén principalmente destinados o directamente dirigidos a conseguir un provecho comercial o una compensación monetaria privada. El intercambio de la Obra por otras obras protegidas por derechos de autor, ya sea a través de un sistema para compartir archivos digitales (digital file-sharing) o de cualquier otra manera no será considerado como estar destinado principalmente o dirigido directamente a conseguir un provecho comercial o una compensación monetaria privada, siempre que no se realice un pago mediante una compensación monetaria en relación con el intercambio de obras protegidas por el derecho de autor.
c.	Si usted distribuye, exhibe públicamente, ejecuta públicamente o ejecuta públicamente en forma digital la Obra o cualquier Obra Derivada u Obra Colectiva, Usted debe mantener intacta toda la información de derecho de autor de la Obra y proporcionar, de forma razonable según el medio o manera que Usted esté utilizando: (i) el nombre del Autor Original si está provisto (o seudónimo, si fuere aplicable), y/o (ii) el nombre de la parte o las partes que el Autor Original y/o el Licenciante hubieren designado para la atribución (v.g., un instituto patrocinador, editorial, publicación) en la información de los derechos de autor del Licenciante, términos de servicios o de otras formas razonables; el título de la Obra si está provisto; en la medida de lo razonablemente factible y, si está provisto, el Identificador Uniforme de Recursos (Uniform Resource Identifier) que el Licenciante especifica para ser asociado con la Obra, salvo que tal URI no se refiera a la nota sobre los derechos de autor o a la información sobre el licenciamiento de la Obra; y en el caso de una Obra Derivada, atribuir el crédito identificando el uso de la Obra en la Obra Derivada (v.g., "Traducción Francesa de la Obra del Autor Original," o "Guión Cinematográfico basado en la Obra original del Autor Original"). Tal crédito puede ser implementado de cualquier forma razonable; en el caso, sin embargo, de Obras Derivadas u Obras Colectivas, tal crédito aparecerá, como mínimo, donde aparece el crédito de cualquier otro autor comparable y de una manera, al menos, tan destacada como el crédito de otro autor comparable.
d.	Para evitar toda confusión, el Licenciante aclara que, cuando la obra es una composición musical:
i.	Regalías por interpretación y ejecución bajo licencias generales. El Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública o la ejecución pública digital de la obra y de recolectar, sea individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), las regalías por la ejecución pública o por la ejecución pública digital de la obra (por ejemplo Webcast) licenciada bajo licencias generales, si la interpretación o ejecución de la obra está primordialmente orientada por o dirigida a la obtención de una ventaja comercial o una compensación monetaria privada.
ii.	Regalías por Fonogramas. El Licenciante se reserva el derecho exclusivo de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, SAYCO), una agencia de derechos musicales o algún agente designado, las regalías por cualquier fonograma que Usted cree a partir de la obra (“versión cover”) y distribuya, en los términos del régimen de derechos de autor, si la creación o distribución de esa versión cover está primordialmente destinada o dirigida a obtener una ventaja comercial o una compensación monetaria privada.
e.	Gestión de Derechos de Autor sobre Interpretaciones y Ejecuciones Digitales (WebCasting). Para evitar toda confusión, el Licenciante aclara que, cuando la obra sea un fonograma, el Licenciante se reserva el derecho exclusivo de autorizar la ejecución pública digital de la obra (por ejemplo, webcast) y de recolectar, individualmente o a través de una sociedad de gestión colectiva de derechos de autor y derechos conexos (por ejemplo, Acinpro), las regalías por la ejecución pública digital de la obra (por ejemplo, webcast), sujeta a las disposiciones aplicables del régimen de Derecho de Autor, si esta ejecución pública digital está primordialmente dirigida a obtener una ventaja comercial o una compensación monetaria privada.
5. Representaciones, Garantías y Limitaciones de Responsabilidad.
A MENOS QUE LAS PARTES LO ACORDARAN DE OTRA FORMA POR ESCRITO, EL LICENCIANTE OFRECE LA OBRA (EN EL ESTADO EN EL QUE SE ENCUENTRA) “TAL CUAL”, SIN BRINDAR GARANTÍAS DE CLASE ALGUNA RESPECTO DE LA OBRA, YA SEA EXPRESA, IMPLÍCITA, LEGAL O CUALQUIERA OTRA, INCLUYENDO, SIN LIMITARSE A ELLAS, GARANTÍAS DE TITULARIDAD, COMERCIABILIDAD, ADAPTABILIDAD O ADECUACIÓN A PROPÓSITO DETERMINADO, AUSENCIA DE INFRACCIÓN, DE AUSENCIA DE DEFECTOS LATENTES O DE OTRO TIPO, O LA PRESENCIA O AUSENCIA DE ERRORES, SEAN O NO DESCUBRIBLES (PUEDAN O NO SER ESTOS DESCUBIERTOS). ALGUNAS JURISDICCIONES NO PERMITEN LA EXCLUSIÓN DE GARANTÍAS IMPLÍCITAS, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.
6. Limitación de responsabilidad.
A MENOS QUE LO EXIJA EXPRESAMENTE LA LEY APLICABLE, EL LICENCIANTE NO SERÁ RESPONSABLE ANTE USTED POR DAÑO ALGUNO, SEA POR RESPONSABILIDAD EXTRACONTRACTUAL, PRECONTRACTUAL O CONTRACTUAL, OBJETIVA O SUBJETIVA, SE TRATE DE DAÑOS MORALES O PATRIMONIALES, DIRECTOS O INDIRECTOS, PREVISTOS O IMPREVISTOS PRODUCIDOS POR EL USO DE ESTA LICENCIA O DE LA OBRA, AUN CUANDO EL LICENCIANTE HAYA SIDO ADVERTIDO DE LA POSIBILIDAD DE DICHOS DAÑOS. ALGUNAS LEYES NO PERMITEN LA EXCLUSIÓN DE CIERTA RESPONSABILIDAD, EN CUYO CASO ESTA EXCLUSIÓN PUEDE NO APLICARSE A USTED.
7. Término.
a.	Esta Licencia y los derechos otorgados en virtud de ella terminarán automáticamente si Usted infringe alguna condición establecida en ella. Sin embargo, los individuos o entidades que han recibido Obras Derivadas o Colectivas de Usted de conformidad con esta Licencia, no verán terminadas sus licencias, siempre que estos individuos o entidades sigan cumpliendo íntegramente las condiciones de estas licencias. Las Secciones 1, 2, 5, 6, 7, y 8 subsistirán a cualquier terminación de esta Licencia.
b.	Sujeta a las condiciones y términos anteriores, la licencia otorgada aquí es perpetua (durante el período de vigencia de los derechos de autor de la obra). No obstante lo anterior, el Licenciante se reserva el derecho a publicar y/o estrenar la Obra bajo condiciones de licencia diferentes o a dejar de distribuirla en los términos de esta Licencia en cualquier momento; en el entendido, sin embargo, que esa elección no servirá para revocar esta licencia o que deba ser otorgada , bajo los términos de esta licencia), y esta licencia continuará en pleno vigor y efecto a menos que sea terminada como se expresa atrás. La Licencia revocada continuará siendo plenamente vigente y efectiva si no se le da término en las condiciones indicadas anteriormente.
8. Varios.
a.	Cada vez que Usted distribuya o ponga a disposición pública la Obra o una Obra Colectiva, el Licenciante ofrecerá al destinatario una licencia en los mismos términos y condiciones que la licencia otorgada a Usted bajo esta Licencia.
b.	Si alguna disposición de esta Licencia resulta invalidada o no exigible, según la legislación vigente, esto no afectará ni la validez ni la aplicabilidad del resto de condiciones de esta Licencia y, sin acción adicional por parte de los sujetos de este acuerdo, aquélla se entenderá reformada lo mínimo necesario para hacer que dicha disposición sea válida y exigible.
c.	Ningún término o disposición de esta Licencia se estimará renunciada y ninguna violación de ella será consentida a menos que esa renuncia o consentimiento sea otorgado por escrito y firmado por la parte que renuncie o consienta.
d.	Esta Licencia refleja el acuerdo pleno entre las partes respecto a la Obra aquí licenciada. No hay arreglos, acuerdos o declaraciones respecto a la Obra que no estén especificados en este documento. El Licenciante no se verá limitado por ninguna disposición adicional que pueda surgir en alguna comunicación emanada de Usted. Esta Licencia no puede ser modificada sin el consentimiento mutuo por escrito del Licenciante y Usted.

