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埃马帕利单抗治疗抗CD19嵌合抗原受体T细胞疗法相关细胞因子释放综合征的疗效:两例报告

Efficacy of emapalumab in the management of anti‑CD19 chimeric antigen receptor T‑cell therapy‑associated cytokine release syndrome: A report of two cases.

作者信息

Cai Wenzhi, Lu Yutong, He Haiju, Li Jiaqi, Liu Shuangzhu, Geng Hongzhi, Yang Qin, Zeng Liangyu, Wu Depei, Li Caixia

机构信息

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.

出版信息

Oncol Lett. 2024 Nov 22;29(2):71. doi: 10.3892/ol.2024.14817. eCollection 2025 Feb.


DOI:10.3892/ol.2024.14817
PMID:39628826
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11612719/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e0/11612719/cfd0a7ce1ea7/ol-29-02-14817-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e0/11612719/d892aade93f2/ol-29-02-14817-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e0/11612719/cfd0a7ce1ea7/ol-29-02-14817-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e0/11612719/d892aade93f2/ol-29-02-14817-g00.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e0/11612719/cfd0a7ce1ea7/ol-29-02-14817-g01.jpg

相似文献

[1]
Efficacy of emapalumab in the management of anti‑CD19 chimeric antigen receptor T‑cell therapy‑associated cytokine release syndrome: A report of two cases.

Oncol Lett. 2024-11-22

[2]
Emapalumab for severe cytokine release syndrome in solid tumor CAR-T: a case report.

Front Oncol. 2025-4-1

[3]
Case Report: Successful use of emapalumab in adult B-cell acute lymphoblastic leukemia experiencing severe neurotoxicity and hemophagocytic lymphohistiocytosis-like features after CAR-T cell therapy.

Front Immunol. 2025-4-4

[4]
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

[5]
Neutralizing IFNγ improves safety without compromising efficacy of CAR-T cell therapy in B-cell malignancies.

Nat Commun. 2023-6-9

[6]
CD19 and CD70 Dual-Target Chimeric Antigen Receptor T-Cell Therapy for the Treatment of Relapsed and Refractory Primary Central Nervous System Diffuse Large B-Cell Lymphoma.

Front Oncol. 2019-12-4

[7]
Cervical Local Cytokine Release Syndrome Following Chimeric Antigen Receptor T-cell Therapy in Patients With Relapsed or Refractory Diffuse Large B-cell Lymphoma.

Cureus. 2023-5-11

[8]
Chylothorax after chimeric antigen receptor T cell therapy for relapsed and refractory diffuse large B-cell lymphoma: A case report.

Medicine (Baltimore). 2023-10-13

[9]
Health Care Resource Utilization and Total Costs of Care Among Patients with Diffuse Large B Cell Lymphoma Treated with Chimeric Antigen Receptor T Cell Therapy in the United States.

Transplant Cell Ther. 2022-7

[10]
Outcomes of CD19-Directed Chimeric Antigen Receptor T Cell Therapy for Transformed Nonfollicular Lymphoma.

Transplant Cell Ther. 2023-6

引用本文的文献

[1]
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

本文引用的文献

[1]
Riding the storm: managing cytokine-related toxicities in CAR-T cell therapy.

Semin Immunopathol. 2024-7-16

[2]
Emapalumab for the treatment of refractory cytokine release syndrome in pediatric patients.

Blood Adv. 2023-9-26

[3]
Neutralizing IFNγ improves safety without compromising efficacy of CAR-T cell therapy in B-cell malignancies.

Nat Commun. 2023-6-9

[4]
2022 Chinese expert consensus and guidelines on clinical management of toxicity in anti-CD19 chimeric antigen receptor T-cell therapy for B-cell non-Hodgkin lymphoma.

Cancer Biol Med. 2023-3-2

[5]
Long-term outcomes of relmacabtagene autoleucel in Chinese patients with relapsed/refractory large B-cell lymphoma: Updated results of the RELIANCE study.

Cytotherapy. 2023-5

[6]
Five-year follow-up of ZUMA-1 supports the curative potential of axicabtagene ciloleucel in refractory large B-cell lymphoma.

Blood. 2023-5-11

[7]
Interferon-γ blockade in CAR T-cell therapy-associated macrophage activation syndrome/hemophagocytic lymphohistiocytosis.

Blood Adv. 2023-2-28

[8]
IL-6/IFN-γ double knockdown CAR-T cells reduce the release of multiple cytokines from PBMCs in vitro.

Hum Vaccin Immunother. 2022-12-31

[9]
Potential Role of IFNγ Inhibition in Refractory Cytokine Release Syndrome Associated with CAR T-cell Therapy.

Blood Cancer Discov. 2022-3-1

[10]
Blockade or Deletion of IFNγ Reduces Macrophage Activation without Compromising CAR T-cell Function in Hematologic Malignancies.

Blood Cancer Discov. 2022-3-1

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