Focused evaluation of the roles of macrophages in chimeric antigen receptor (CAR) T cell therapy associated cytokine release syndrome.

Focused evaluation of the roles of macrophages in chimeric antigen receptor (CAR) T cell therapy associated cytokine release syndrome.
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DOI:
10.20892/j.issn.2095-3941.2021.0087
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发表时间:
2021-09-28
影响因子:
5.5
通讯作者:
Cui J
Cui J
中科院分区:
医学2区
文献类型:
--
作者:
Guo H;Qian L;Cui J

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细胞因子释放综合征(CRS)是嵌合抗原受体(CAR)T细胞疗法广泛临床应用的主要障碍。CRS也可以由感染(如SARS-CoV-2),药物(如治疗性抗体)和一些自身免疫性疾病引起。骨髓源性巨噬细胞在CRS的发病机制中起关键作用,并参与CRS核心细胞因子的产生和释放,包括白细胞介素(IL)-1,IL-6和干扰素-γ。本文综述了巨噬细胞在CRS中的作用,并讨论了CRS中巨噬细胞活化及相关细胞因子调控机制的最新进展。
Cytokine release syndrome (CRS) is a major obstacle to the widespread clinical application of chimeric antigen receptor (CAR) T cell therapies. CRS can also be induced by infections (such as SARS-CoV-2), drugs (such as therapeutic antibodies), and some autoimmune diseases. Myeloid-derived macrophages play key roles in the pathogenesis of CRS, and participate in the production and release of the core CRS cytokines, including interleukin (IL)-1, IL-6, and interferon-γ. In this review, we summarize the roles of macrophages in CRS and discuss new developments in macrophage activation and the related mechanisms of cytokine regulation in CRS.
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