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10.3390/ijms21113886

http://scihub22266oqcxt.onion/10.3390/ijms21113886
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32485958!7312228!32485958
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suck abstract from ncbi


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pmid32485958      Int+J+Mol+Sci 2020 ; 21 (11): ä
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  • A New Era in Endothelial Injury Syndromes: Toxicity of CAR-T Cells and the Role of Immunity #MMPMID32485958
  • Gavriilaki E; Sakellari I; Gavriilaki M; Anagnostopoulos A
  • Int J Mol Sci 2020[May]; 21 (11): ä PMID32485958show ga
  • Immunotherapy with chimeric antigen receptor T (CAR-T cells) has been recently approved for patients with relapsed/refractory B-lymphoproliferative neoplasms. Along with great efficacy in patients with poor prognosis, CAR-T cells have been also linked with novel toxicities in a significant portion of patients. Cytokine release syndrome (CRS) and neurotoxicity present with unique clinical phenotypes that have not been previously observed. Nevertheless, they share similar characteristics with endothelial injury syndromes developing post hematopoietic cell transplantation (HCT). Evolution in complement therapeutics has attracted renewed interest in these life-threatening syndromes, primarily concerning transplant-associated thrombotic microangiopathy (TA-TMA). The immune system emerges as a key player not only mediating cytokine responses but potentially contributing to endothelial injury in CAR-T cell toxicity. The interplay between complement, endothelial dysfunction, hypercoagulability, and inflammation seems to be a common denominator in these syndromes. As the indications for CAR-T cells and patient populations expand, there in an unmet clinical need of better understanding of the pathophysiology of CAR-T cell toxicity. Therefore, this review aims to provide state-of-the-art knowledge on cellular therapies in clinical practice (indications and toxicities), endothelial injury syndromes and immunity, as well as potential therapeutic targets.
  • |Animals[MESH]
  • |Complement Inactivating Agents/pharmacology[MESH]
  • |Complement System Proteins/chemistry[MESH]
  • |Cytokine Release Syndrome/immunology/therapy[MESH]
  • |Cytokines/metabolism[MESH]
  • |Hematologic Neoplasms/immunology/*therapy[MESH]
  • |Humans[MESH]
  • |Immunotherapy, Adoptive/*methods[MESH]
  • |Inflammation/drug therapy[MESH]
  • |Mice[MESH]
  • |Phenotype[MESH]
  • |Receptors, Chimeric Antigen/*immunology[MESH]
  • |T-Lymphocytes/immunology[MESH]
  • |Thrombotic Microangiopathies[MESH]


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