Advanced Flow Cytometry Assays for Immune Monitoring of CAR-T Cell Applications.

Advanced Flow Cytometry Assays for Immune Monitoring of CAR-T Cell Applications.
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用于免疫监测CAR-T细胞应用的晚期流式细胞仪测定法。

DOI:
10.3389/fimmu.2021.658314
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发表时间:
2021
影响因子:
7.3
通讯作者:
Koehl U
Koehl U
中科院分区:
医学2区
文献类型:
--
作者:
Blache U;Weiss R;Boldt A;Kapinsky M;Blaudszun AR;Quaiser A;Pohl A;Miloud T;Burgaud M;Vucinic V;Platzbecker U;Sack U;Fricke S;Koehl U

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Adoptive immunotherapy using chimeric antigen receptor (CAR)-T cells has achieved successful remissions in refractory B-cell leukemia and B-cell lymphomas. In order to estimate both success and severe side effects of CAR-T cell therapies, longitudinal monitoring of the patient’s immune system including CAR-T cells is desirable to accompany clinical staging. To conduct research on the fate and immunological impact of infused CAR-T cells, we established standardized 13-colour/15-parameter flow cytometry assays that are suitable to characterize immune cell subpopulations in the peripheral blood during CAR-T cell treatment. The respective staining technology is based on pre-formulated dry antibody panels in a uniform format. Additionally, further antibodies of choice can be added to address specific clinical or research questions. We designed panels for the anti-CD19 CAR-T therapy and, as a proof of concept, we assessed a healthy individual and three B-cell lymphoma patients treated with anti-CD19 CAR-T cells. We analyzed the presence of anti-CD19 CAR-T cells as well as residual CD19+ B cells, the activation status of the T-cell compartment, the expression of co-stimulatory signaling molecules and cytotoxic agents such as perforin and granzyme B. In summary, this work introduces standardized and modular flow cytometry assays for CAR-T cell clinical research, which could also be adapted in the future as quality controls during the CAR-T cell manufacturing process.
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