文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

需要规范 CAR T 细胞治疗中的细胞因子谱分析。

Need for standardization of cytokine profiling in CAR T cell therapy.

机构信息

Pediatric Oncology Branch, Center for Cancer Research (CCR), National Cancer Institute (NCI), NIH, Bethesda, MD, USA; George Washington University School of Medicine, Washington, DC, USA.

Pediatric Oncology Branch, Center for Cancer Research (CCR), National Cancer Institute (NCI), NIH, Bethesda, MD, USA; Division of Biology and Biomedical Sciences, Washington University, St. Louis, MO, USA.

出版信息

Mol Ther. 2024 Sep 4;32(9):2979-2983. doi: 10.1016/j.ymthe.2024.03.030. Epub 2024 Mar 26.


DOI:10.1016/j.ymthe.2024.03.030
PMID:38532629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11403224/
Abstract

With expansion of chimeric antigen receptor (CAR) T cell therapy and broader utilization of anti-cytokine directed therapeutics for toxicity mitigation, the routine assessment of cytokines may enhance understanding of toxicity profiles, guide therapeutic interventions, and facilitate cross-trial comparisons. As specific cytokine elevations can correlate with and provide insights into CAR T cell toxicity, mitigation strategies, and response, we explored the reporting of cytokine detection methods and assessed for the correlation of cytokines to cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS) across clinical trials. In this analysis, we reviewed 21 clinical trials across 60 manuscripts that featured a US Food and Drug Administration-approved CAR T cell construct or one of its predecessors. We highlight substantial variability and limited reporting of cytokine measurement platforms and panels used across CAR T cell clinical trials. Specifically, across 60 publications, 28 (46.7%) did not report any cytokine data, representing 6 of 21 (28.6%) clinical trials. In the 15 trials reporting cytokine data, at least 4 different platforms were used. Furthermore, correlation of cytokines with ICANS, CRS, and CRS severity was limited. Considering the fundamental role of cytokines in CAR T cell toxicity, our manuscript supports the need to establish standardization of cytokine measurements as a key biomarker essential to improving outcomes of CAR T cell therapy.

摘要

随着嵌合抗原受体 (CAR) T 细胞疗法的扩展和更广泛地使用抗细胞因子导向疗法来减轻毒性,常规评估细胞因子可能有助于更好地了解毒性特征,指导治疗干预,并促进临床试验之间的比较。由于特定细胞因子的升高与 CAR T 细胞毒性、缓解策略以及反应相关,我们探讨了细胞因子检测方法的报告情况,并评估了细胞因子与细胞因子释放综合征 (CRS) 和免疫效应细胞相关神经毒性综合征 (ICANS) 之间的相关性在临床试验中。在这项分析中,我们回顾了 21 项临床试验,涉及 60 篇论文,其中包括经美国食品和药物管理局批准的 CAR T 细胞构建体或其前身之一。我们强调了在 CAR T 细胞临床试验中细胞因子测量平台和面板的使用存在很大的差异和有限的报告。具体来说,在 60 篇出版物中,有 28 篇(46.7%)没有报告任何细胞因子数据,占 21 项临床试验中的 6 项(28.6%)。在报告细胞因子数据的 15 项试验中,至少使用了 4 种不同的平台。此外,细胞因子与 ICANS、CRS 和 CRS 严重程度的相关性有限。考虑到细胞因子在 CAR T 细胞毒性中的基本作用,我们的论文支持需要建立细胞因子测量的标准化,作为改善 CAR T 细胞治疗结果的关键生物标志物的必要性。

相似文献

[1]
Need for standardization of cytokine profiling in CAR T cell therapy.

Mol Ther. 2024-9-4

[2]
Neurotoxicity associated with chimeric antigen receptor T-cell therapy.

J Neuroimmunol. 2025-10-15

[3]
Riding the storm: managing cytokine-related toxicities in CAR-T cell therapy.

Semin Immunopathol. 2024-7-16

[4]
Obecabtagene autoleucel, a novel CD19-directed CAR T-cell therapy for relapsed/refractory B-cell acute lymphoblastic leukemia: the future for reducing toxicity and T-cell exhaustion?

Expert Rev Hematol. 2025-6-23

[5]
Low Peripheral Blood Counts and Elevated Proinflammatory Cytokines Signal a Poor CD19 Chimeric Antigen Receptor T-cell Response in Acute Lymphoblastic Leukemia.

Transplant Cell Ther. 2025-5-20

[6]
Latest updates on pathogenesis mechanisms and management strategies for cytokine release syndrome, neurotoxicity, and hemophagocytic lymphohistiocytosis related to CAR-T cell therapies.

Ann Hematol. 2025-6-19

[7]
Mitigation and Management of Common Toxicities Associated with the Administration of CAR-T Therapies in Oncology Patients.

Drug Saf. 2025-3-19

[8]
Clonal Hematopoiesis is Associated With Severe Cytokine Release Syndrome in Patients Treated With Chimeric Antigen Receptor T-Cell (CART) Therapy.

Transplant Cell Ther. 2024-9

[9]
Efficacy and Toxicity of CD19 Chimeric Antigen Receptor T Cell Therapy for Lymphoma in Solid Organ Transplant Recipients: A Systematic Review and Meta-Analysis.

Transplant Cell Ther. 2024-1

[10]
Clinical Presentation, Risk Factors, and Outcomes of Immune Effector Cell-Associated Neurotoxicity Syndrome Following Chimeric Antigen Receptor T Cell Therapy: A Systematic Review.

Transplant Cell Ther. 2022-6

引用本文的文献

[1]
Immunotherapy in the Battle Against Bone Metastases: Mechanisms and Emerging Treatments.

Pharmaceuticals (Basel). 2024-11-26

[2]
CAR T-cell toxicities: from bedside to bench, how novel toxicities inform laboratory investigations.

Blood Adv. 2024-8-27

本文引用的文献

[1]
Emapalumab for the treatment of refractory cytokine release syndrome in pediatric patients.

Blood Adv. 2023-9-26

[2]
CD19 CAR T-cell therapy and prophylactic anakinra in relapsed or refractory lymphoma: phase 2 trial interim results.

Nat Med. 2023-7

[3]
Free interleukin-18 is elevated in CD22 CAR T-cell-associated hemophagocytic lymphohistiocytosis-like toxicities.

Blood Adv. 2023-10-24

[4]
Neutralizing IFNγ improves safety without compromising efficacy of CAR-T cell therapy in B-cell malignancies.

Nat Commun. 2023-6-9

[5]
CAR T-cell detection scoping review: an essential biomarker in critical need of standardization.

J Immunother Cancer. 2023-5

[6]
Anakinra for Refractory Cytokine Release Syndrome or Immune Effector Cell-Associated Neurotoxicity Syndrome after Chimeric Antigen Receptor T Cell Therapy.

Transplant Cell Ther. 2023-7

[7]
Potential Role of IFNγ Inhibition in Refractory Cytokine Release Syndrome Associated with CAR T-cell Therapy.

Blood Cancer Discov. 2022-3-1

[8]
Single-center experience using anakinra for steroid-refractory immune effector cell-associated neurotoxicity syndrome (ICANS).

J Immunother Cancer. 2022-1

[9]
Cytokine release syndrome and associated neurotoxicity in cancer immunotherapy.

Nat Rev Immunol. 2022-2

[10]
Society for Immunotherapy of Cancer (SITC) clinical practice guideline on immune effector cell-related adverse events.

J Immunother Cancer. 2020-12

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索