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

Baseline immune state and T-cell clonal kinetics are associated with durable response to CAR-T therapy in large B-cell lymphoma.

作者信息

Maurer Katie, Grabski Isabella N, Houot Roch, Gohil Satyen H, Miura Shogo, Redd Robert, Lyu Haoxiang, Lu Wesley, Arihara Yohei, Budka Justin, McDonough Mikaela, Ansuinelli Michela, Reynolds Carol, Jacene Heather, Li Shuqiang, Livak Kenneth J, Ritz Jerome, Miles Brodie, Mattie Mike, Neuberg Donna S, Irizarry Rafael A, Armand Philippe, Wu Catherine J, Jacobson Caron

机构信息

Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.

Harvard Medical School, Boston, MA.

出版信息

Blood. 2024 Dec 12;144(24):2490-2502. doi: 10.1182/blood.2024024381.


DOI:10.1182/blood.2024024381
PMID:39241199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11952007/
Abstract

Engineered cellular therapy with CD19-targeting chimeric antigen receptor T cells (CAR-Ts) has revolutionized outcomes for patients with relapsed/refractory large B-cell lymphoma (LBCL), but the cellular and molecular features associated with response remain largely unresolved. We analyzed serial peripheral blood samples ranging from the day of apheresis (day -28/baseline) to 28 days after CAR-T infusion from 50 patients with LBCL treated with axicabtagene ciloleucel by integrating single-cell RNA and T-cell receptor sequencing, flow cytometry, and mass cytometry to characterize features associated with response to CAR-T. Pretreatment patient characteristics associated with response included the presence of B cells and increased absolute lymphocyte count to absolute monocyte count ratio (ALC/AMC). Infusion products from responders were enriched for clonally expanded, highly activated CD8+ T cells. We expanded these observations to 99 patients from the ZUMA-1 cohort and identified a subset of patients with elevated baseline B cells, 80% of whom were complete responders. We integrated B-cell proportion ≥0.5% and ALC/AMC ≥1.2 into a 2-factor predictive model and applied this model to the ZUMA-1 cohort. Estimated progression-free survival at 1 year in patients meeting 1 or both criteria was 65% vs 31% for patients meeting neither criterion. Our results suggest that patients' immunologic state at baseline affects the likelihood of response to CAR-T through both modulation of the T-cell apheresis product composition and promoting a more favorable circulating immune compartment before therapy. These baseline immunologic features, measured readily in the clinical setting before CAR-T, can be applied to predict response to therapy.

摘要

相似文献

[1]
Baseline immune state and T-cell clonal kinetics are associated with durable response to CAR-T therapy in large B-cell lymphoma.

Blood. 2024-12-12

[2]
Anti-CD19 CAR-T Cell Therapy in Elderly Patients: Multicentric Real-World Experience from GETH-TC/GELTAMO.

Transplant Cell Ther. 2024-10

[3]
Axicabtagene Ciloleucel versus Tisagenlecleucel for Relapsed or Refractory Large B Cell Lymphoma: A Systematic Review and Meta-Analysis.

Transplant Cell Ther. 2024-6

[4]
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

[5]
Comparison of axicabtagene ciloleucel and tisagenlecleucel patient CAR-T cell products by single-cell RNA sequencing.

J Immunother Cancer. 2025-7-28

[6]
Chimeric antigen receptor (CAR) T-cell therapy for people with relapsed or refractory diffuse large B-cell lymphoma.

Cochrane Database Syst Rev. 2021-9-13

[7]
Enrichment of CD7CXCR3 CAR T-cells in infusion products is associated with durable remission in relapsed or refractory diffuse large B-cell lymphoma.

Ann Oncol. 2025-7

[8]
CD22-directed CAR T-cell therapy for large B-cell lymphomas progressing after CD19-directed CAR T-cell therapy: a dose-finding phase 1 study.

Lancet. 2024-7-27

[9]
Real-World Analysis of Barriers to Timely Administration of Chimeric Antigen Receptor T Cell (CAR T) Therapy in Diffuse Large B-cell Lymphoma.

Transplant Cell Ther. 2024-11

[10]
Late Adverse Events After Chimeric Antigen Receptor T-Cell Therapy for Patients With Aggressive B-Cell Non-Hodgkin Lymphoma.

JAMA Netw Open. 2025-2-3

引用本文的文献

[1]
A clonally expanded nodal T-cell population diagnosed as T-cell lymphoma after CAR-T therapy.

Nat Commun. 2025-8-12

[2]
Population Cellular Kinetics of Idecabtagene Vicleucel in Patients with Triple-Class-Exposed Relapsed/Refractory Multiple Myeloma.

Clin Pharmacokinet. 2025-6-3

[3]
High-dimensional temporal mapping of CAR T cells reveals phenotypic and functional remodeling during manufacturing.

Mol Ther. 2025-5-7

[4]
Overcoming the challenges encountered in CAR-T therapy: latest updates from the 2023 ASH annual conference.

Front Immunol. 2024-4-10

本文引用的文献

[1]
Monocytes in leukapheresis products affect the outcome of CD19-targeted CAR T-cell therapy in patients with lymphoma.

Blood Adv. 2024-4-23

[2]
Impact of tumor microenvironment on efficacy of anti-CD19 CAR T cell therapy or chemotherapy and transplant in large B cell lymphoma.

Nat Med. 2024-2

[3]
CAR and CAR T cells share a differentiation trajectory into an NK-like subset after CD19 CAR T cell infusion in patients with B cell malignancies.

Nat Commun. 2023-11-27

[4]
A single-cell atlas of CD19 chimeric antigen receptor T cells.

Cancer Cell. 2023-11-13

[5]
Immune effector cell-associated hematotoxicity: EHA/EBMT consensus grading and best practice recommendations.

Blood. 2023-9-7

[6]
A Novel Autologous CAR-T Therapy, YTB323, with Preserved T-cell Stemness Shows Enhanced CAR T-cell Efficacy in Preclinical and Early Clinical Development.

Cancer Discov. 2023-9-6

[7]
Costimulatory domains direct distinct fates of CAR-driven T-cell dysfunction.

Blood. 2023-6-29

[8]
Mechanisms of Resistance and Treatment of Relapse after CAR T-cell Therapy for Large B-cell Lymphoma and Multiple Myeloma.

Transplant Cell Ther. 2023-7

[9]
Tumor inflammation-associated neurotoxicity.

Nat Med. 2023-4

[10]
Distinct cellular dynamics associated with response to CAR-T therapy for refractory B cell lymphoma.

Nat Med. 2022-9

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