toxicity and management in car t-cell therapy
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2016
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Abstract
T cells can be genetically modified to target tumors through the expression of a chimeric antigen receptor (CAR). Most notably, CAR T cells have demonstrated clinical efficacy in hematologic malignancies with more modest responses when targeting solid tumors. However, CAR T cells also have the capacity to elicit expected and unexpected toxicities including: cytokine release syndrome, neurologic toxicity, “on target/off tumor” recognition, and anaphylaxis. Theoretical toxicities including clonal expansion secondary to insertional oncogenesis, graft versus host disease, and off-target antigen recognition have not been clinically evident. Abrogating toxicity has become a critical step in the successful application of this emerging technology. To this end, we review the reported and theoretical toxicities of CAR T cells and their management.
| Reference Key |
bonifant2016moleculartoxicity
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|---|---|
| Authors | ;Challice L Bonifant;Hollie J Jackson;Renier J Brentjens;Kevin J Curran |
| Journal | neurology india |
| Year | 2016 |
| DOI |
10.1038/mto.2016.11
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