•  
  •  
 

Abstract

Chimeric Antigen Receptor T (CAR-T) cell therapy has emerged as a revolutionary treatment modality for hematologic malignancies, including acute lymphoblastic leukemia (ALL), non-Hodgkin lymphoma (NHL), and chronic lymphocytic leukemia (CLL). This innovative approach involves the genetic engineering of a patient's own T lymphocytes to express chimeric antigen receptors (CARs), which enables these cells to specifically recognize and eliminate malignant cells expressing target antigens. Clinical trials have demonstrated remarkable efficacy, with significant rates of complete remission and durable responses observed in patients who have relapsed or are refractory to conventional therapies. As advancements in CAR technology continue, there is potential for expanding its application to other hematologic and solid tumors, offering hope for improved outcomes in cancer therapies. This article highlights the transformative impact of CAR-T cell therapy in hematologic malignancies and emphasizes the need for further investigation to enhance its safety and effectiveness.

References

1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Publishing; 2013:59-66.

2. Thomas R, Sanders S, Doust J, Beller E, Glasziou P. Prevalence of attention-deficit/hyperactivity disorder: a systematic review and meta-analysis. Pediatrics. 2015;135(4):994-1001.

3. Visanuyothin T, Pavasuthipaisit C, Wachiradilok P, Arunruang P, Burannasuksakul T. The prevalence of attention-deficit/hyperactivity disorder in Thailand. J Ment Health Thai. 2013;21(2):66-75.

4. Sung V, Hiscock H, Sciberras E, Efron D. Sleep problems in children with attention-deficit/hyperactivity disorder: prevalence and the effect on the child and family. Arch Pediatr Adolesc Med. 2008;162(4):336-42.

5. Chen M, Wardlaw M, Stein MA. ADHD medications and sleep. In: Hiscock H, Sciberras E, eds. ADHD and Sleep: An Evidence-Based Guide to Assessment and Treatment. San Diego, CA: Elsevier; 2019:151-173.

6. Cortese S, Brown TE, Corkum P, Gruber R, O’Brien LM, Stein M, et al. Assessment and management of sleep problems in youths with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2013;52(8):784-96.

7. Yoon S, Jain U, Shapiro C. Sleep in attention-deficit/hyperactivity disorder in children and adults: past, present, and future. Sleep Med Rev. 2012;16(4):371-88.

8. Cortese S, Faraone SV, Konofal E, Lecendreux M. Sleep in children with attention-deficit/hyperactivity disorder: meta-analysis of subjective and objective studies. J Am Acad Child Adolesc Psychiatry. 2009;48(9):894-908.

9. Hosiri T, Punyapas S, Sawangsri W. The prevalence and patterns of sleep problems in children with ADHD. J Med Assoc Thai. 2018;101(1):S34-S40.

10. Withayasakpunt H, Putthisri S. Impact of multimedia use before bed on sleep problems in children with ADHD. J Psychiatr Assoc Thai. 2020;65(4):317-30.

11. Chiraphadhanakul K, Jaimchariyatam N, Pruksananonda C, Chonchaiya W. Increased sleep disturbances in Thai children with attention-deficit/hyperactivity disorder compared with typically developing children. Behav Sleep Med. 2016;14(6):677-86.

12. Biggs S, Lushington K, Van Der Heuvel C, Martin J, Kennedy J. Inconsistent sleep schedules and daytime behavioral difficulties in school-aged children. Sleep Med. 2011;12(8):780-6.

13. Sleep Disorders Association of Thailand. Basic Sleep Medicine for Doctors, Nurses, Students, and Medical Personnel (Basic Sleep Medicine). 1st ed. Bangkok: Beyond Enterprise Co., Ltd.; 2017.

14. Department of Health, Ministry of Public Health. Guide to Sleeping for Good Health. 1st ed. Nonthaburi: Kaew Chao Chom Media and Publishing Center, Suan Sunandha Rajabhat University; 2020.

15. Corkum P, Pottie PL, Davidson F, et al. Better nights/better days—distance intervention for insomnia in school-aged children with/without ADHD: a randomized controlled trial. J Pediatr Psychol. 2016;41(6):701-713.

16. Peppers KH, Eisbach S, Atkins S, Poole JM, Derouin A. An intervention to promote sleep and reduce ADHD symptoms. J Pediatr Health Care. 2016;30(6):e43-e48.

17. Rusch H, Rosario M, Levison L, et al. The effect of mindfulness meditation on sleep quality: a systematic review and meta-analysis of randomized controlled trials. Ann N Y Acad Sci. 2019;1445(1):5-16.

18. Davis M, Hayes J. What are the benefits of mindfulness. Monit Psychol. 2012;43(7):64.

19. Wikipedia. Effects of meditation [Internet]. https://en.wikipedia.org/wiki/Effects_of_meditation. Published 2022. Accessed April 20, 2022.

20. Nakamura Y, Lipschitz DL, Landward R, Kuhn R, West G. Two sessions of sleep-focused mind-body bridging improve self-reported symptoms of sleep and PTSD in veterans: a pilot randomized controlled trial. J Psychosom Res. 2011;70(4):335-45.

21. Nakamura Y, Lipschitz DL, Kuhn R, Kinney AY, Donaldson GW. Investigating efficacy of two brief mind-body intervention programs for managing sleep disturbance in cancer survivors: a pilot randomized controlled trial. J Cancer Surviv. 2013;7(2):165-82.

22. Chick CF, Singh A, Anker L, et al. A school-based health and mindfulness curriculum improves children’s objectively measured sleep: a prospective observational cohort study. J Clin Sleep Med. 2022;18(9):2261-71.

23. Mindell J, Williamson A. Benefits of a bedtime routine in young children: sleep, development, and beyond. Sleep Med Rev. 2018;40:93-108.

24. Harmat L, Takacs J, Bodizs R. Music improves sleep quality in students. J Adv Nurs. 2008;62(3):327-35.

25. Anggerainy SW, Wanda D, Nurhaeni N. Music therapy and storytelling: nursing interventions to improve sleep in hospitalized children. Compr Child Adolesc Nurs. 2019;42(Suppl 1):82-9.

26. Pityaratstian N, Booranasuksakul T, Juengsiragulwit D, Benyakorn S. ADHD screening properties of the Thai version of Swanson, Nolan, and Pelham IV Scale (SNAP-IV) and Strengths and Difficulties Questionnaire (SDQ). J Psychiatr Assoc Thai. 2014;59(2):97-110.

27. Disayawanwat P, Pityaratstian N. Development of Children’s Sleep Habit Questionnaire Thai version. Chula Med J. 2016;60(3):297-312.

28. Mongkol A, Wongpiromsant Y, Tangseree T, et al. Development and Testing of Thai Mental Health Indicators (Version 2007). Bangkok: Agricultural Cooperative Assembly Press of Thailand; 2009.

29. Na Thalang R, ed. Bedtime Story Collection: Little Rabbit Wants to Sleep. Bangkok: Nanmee Books Kiddy; 2017.

30. Na Thalang R, ed. Bedtime Story Collection: The Little Elephant Wants to Sleep. Bangkok: Nanmee Books Kiddy; 2017.

31. Na Thalang R, ed. Bedtime Story Collection: Little Tractor Wants to Sleep. Bangkok: Nanmee Books Kiddy; 2018.

32. Hiscock H, Sciberras E, Mensah F, et al. Impact of behavioural sleep intervention on symptoms and sleep in children with attention deficit hyperactivity disorder, and parental mental health: randomised controlled trial. BMJ. 2015;350:h68.

33. Chaput JP, Gray CE, Poitras VJ, et al. Parental socioeconomic status and childhood sleep: a systematic review and meta‑analysis. Sleep Epidemiol. 2022;2:100047.

Share

COinS