CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:CD8 and CD4 CAR-T cells are associated with outcome and toxicity of tisagenlecleucel in central nervous system lymphoma.
CD8 and CD4 CAR-T cells are associated with outcome and toxicity of tisagenlecleucel in central nervous system lymphoma.
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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。
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。
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.
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