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10.1038/s41409-020-01060-5

http://scihub22266oqcxt.onion/10.1038/s41409-020-01060-5
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32943758!7498115!32943758
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suck abstract from ncbi


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pmid32943758      Bone+Marrow+Transplant 2021 ; 56 (3): 570-580
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  • Clinical characterization and risk factors associated with cytokine release syndrome induced by COVID-19 and chimeric antigen receptor T-cell therapy #MMPMID32943758
  • Hong R; Zhao H; Wang Y; Chen Y; Cai H; Hu Y; Wei G; Huang H
  • Bone Marrow Transplant 2021[Mar]; 56 (3): 570-580 PMID32943758show ga
  • An excessive immune response during coronavirus disease (COVID-19) can induce cytokine release syndrome (CRS), which is associated with life-threatening complications and disease progression. This retrospective study evaluated the clinical characteristics of severe CRS (sCRS, grade 3-4) induced by severe COVID-19 (40 patients) or chimeric antigen receptor T-cell (CAR-T) therapy as a comparator (41 patients). Grade 4 CRS was significantly more common in the COVID-19 group (15/40 (35.7%) vs. 5/41 (12.2%), P = 0.008). The CAR-T group had more dramatic increase in cytokines, including IL-2, IL-6, IL-10, and IFN-gamma. Interestingly, COVID-19 group had significantly higher levels for TNF-alpha (31.1 pg/ml (16.1-70.0) vs. 3.3 (1.8-9.6), P < 0.001) and lg viral loads were correlated with lg IL-6 (R(2) = 0.101; P < 0.001) and lg IL-10 (R(2) = 0.105; P < 0.001). The independent risk factor for COVID-19-related sCRS was hypertension history (OR: 4.876, 95% CI: 2.038-11.668; P < 0.001). Our study demonstrated that there were similar processes but different intensity of inflammatory responses of sCRS in COVID-19 and CAR-T group. The diagnose and management of severe COVID-19-related sCRS can learn lessons from treatment of sCRS induced by CAR-T therapy.
  • |*SARS-CoV-2[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |C-Reactive Protein/metabolism[MESH]
  • |COVID-19/*complications/epidemiology/*immunology[MESH]
  • |China/epidemiology[MESH]
  • |Cytokine Release Syndrome/blood/*etiology/immunology[MESH]
  • |Cytokines/blood[MESH]
  • |Female[MESH]
  • |Ferritins/blood[MESH]
  • |Fibrin Fibrinogen Degradation Products/metabolism[MESH]
  • |Humans[MESH]
  • |Immunotherapy, Adoptive/*adverse effects[MESH]
  • |Lung/diagnostic imaging[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Neoplasms/complications/immunology/therapy[MESH]
  • |Pandemics[MESH]
  • |Procalcitonin/blood[MESH]
  • |Prognosis[MESH]
  • |Receptors, Chimeric Antigen/*immunology[MESH]
  • |Retrospective Studies[MESH]
  • |Risk Factors[MESH]
  • |Tumor Burden/immunology[MESH]


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