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CD8 和 CD4 CAR-T 细胞与 tisagenlecleucel 治疗中枢神经系统淋巴瘤的结局和毒性相关

英文原题:CD8 and CD4 CAR-T cells are associated with outcome and toxicity of tisagenlecleucel in central nervous system lymphoma.

查看英文原题

CD8 and CD4 CAR-T cells are associated with outcome and toxicity of tisagenlecleucel in central nervous system lymphoma.

PubMed 2025/05/24(内容时间) Cytotherapy Q1 · IF 4.5(JCR 2025)

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研究概要

这些数据首次在 CNSL 患者中证实了这些机制,并强调了 CAR-T 细胞表型监测对预测疗效和毒性的相关性。

研究思路结论见上方概要

本研究回顾性纳入24例接受tisagenlecleucel治疗的初发和继发CNSL患者。采用流式细胞术分析输注产品、血液和脑脊液中的CAR-T 细胞。

在此,我们表明CD8+ CAR-T 细胞的强劲扩增与早期反应和更好的长期生存相关。此外,CD4+ CAR-T 细胞似乎在细胞因子释放综合征的发展中起着关键作用。

展开英文摘要原文

Twenty-four patients with primary and secondary CNSL treated with tisagenlecleucel were retrospectively included in this study. CAR-T cells were analysed in infusion products, blood ans cerebrospinal fluid using flow cytometry.

Here, we show that robust expansion of CD8 + CAR-T cells was associated with early response and better long-term survival. Additionally, CD4 + CAR-T cells appeared to play a pivotal role in the development of cytokine release syndrome.

These data represent the first evidence of these mechanisms in CNSL patients and emphasize the relevance of CAR-T cell phenotype monitoring to predict efficacy and toxicity.

论文信息

作者
Samara JA、Baron M、Gazzano M、Parizot C、Kirupaharan M、Guihot A、Miyara M、Gorochov G
第一作者单位
Département d'Immunologie, Assistance Publique Hôpitaux de Paris (AP-HP), Hôpital Pitié-Salpêtrière, Paris 75013, France.France
通讯作者单位
Département d'Immunologie, Assistance Publique Hôpitaux de Paris (AP-HP), Hôpital Pitié-Salpêtrière, Paris 75013, France; Inserm, Centre d'Immunologie et des Maladies Infectieuses (CIMI-Paris), Sorbonne Université, Paris 75013, France. Electronic address: delphine.sterlin@aphp.fr.France
期刊
Cytotherapy2025 Aug
原文标识
PubMed 40544366 · DOI 10.1016/j.jcyt.2025.05.005