Cai Wenzhi, Lu Yutong, He Haiju, Li Jiaqi, Liu Shuangzhu, Geng Hongzhi, Yang Qin, Zeng Liangyu, Wu Depei, Li Caixia
National Clinical Research Center for Hematological Diseases, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, P.R. China.
Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, P.R. China.
Oncol Lett. 2024 Nov 22;29(2):71. doi: 10.3892/ol.2024.14817. eCollection 2025 Feb.
Chimeric antigen receptor (CAR) T-cell therapy is an effective treatment for diffuse large B-cell lymphoma (DLBCL). However, it may activate the systemic immune system of the patient, resulting in cytokine release syndrome (CRS). Emapalumab is a human monoclonal antibody targeting interferon-γ, inhibiting its interaction with cell surface receptors and the subsequent activation of inflammatory pathways. The present report describes the cases of 2 patients with relapsed DLBCL treated with CAR T-cell therapy, in which the severe CRS associated with CAR T-cell therapy was attenuated without compromising antitumor efficacy after receiving emapalumab. Further prospective clinical trials are warranted to determine the role of emapalumab in CAR T-cell therapy.
嵌合抗原受体(CAR)T细胞疗法是治疗弥漫性大B细胞淋巴瘤(DLBCL)的有效方法。然而,它可能会激活患者的全身免疫系统,导致细胞因子释放综合征(CRS)。埃玛帕利单抗是一种靶向干扰素-γ的人源单克隆抗体,可抑制其与细胞表面受体的相互作用以及随后炎症途径的激活。本报告描述了2例接受CAR T细胞疗法治疗的复发性DLBCL患者的病例,这2例患者在接受埃玛帕利单抗治疗后,与CAR T细胞疗法相关的严重CRS得到缓解,且未影响抗肿瘤疗效。有必要进一步开展前瞻性临床试验以确定埃玛帕利单抗在CAR T细胞疗法中的作用。
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