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Eradication of B-lineage cells and regression of lymphoma in a patient treated with autologous T cells genetically engineered to recognize CD19
Adoptive transfer of genetically modified T cells is an attractive approach for generating antitumor immune responses. We treated a patient with advanced follicular lymphoma by administering a preparative chemotherapy regimen followed by autologous T cells genetically engineered to express a chimeri...
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Published in: | Blood 2010-11, Vol.116 (20), p.4099-4102 |
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creator | Kochenderfer, James N. Wilson, Wyndham H. Janik, John E. Dudley, Mark E. Stetler-Stevenson, Maryalice Feldman, Steven A. Maric, Irina Raffeld, Mark Nathan, Debbie-Ann N. Lanier, Brock J. Morgan, Richard A. Rosenberg, Steven A. |
description | Adoptive transfer of genetically modified T cells is an attractive approach for generating antitumor immune responses. We treated a patient with advanced follicular lymphoma by administering a preparative chemotherapy regimen followed by autologous T cells genetically engineered to express a chimeric antigen receptor (CAR) that recognized the B-cell antigen CD19. The patient's lymphoma underwent a dramatic regression, and B-cell precursors were selectively eliminated from the patient's bone marrow after infusion of anti–CD19-CAR-transduced T cells. Blood B cells were absent for at least 39 weeks after anti–CD19-CAR-transduced T-cell infusion despite prompt recovery of other blood cell counts. Consistent with eradication of B-lineage cells, serum immunoglobulins decreased to very low levels after treatment. The prolonged and selective elimination of B-lineage cells could not be attributed to the chemotherapy that the patient received and indicated antigen-specific eradication of B-lineage cells. Adoptive transfer of anti–CD19-CAR-expressing T cells is a promising new approach for treating B-cell malignancies. This study is registered at www.clinicaltrials.gov as #NCT00924326. |
doi_str_mv | 10.1182/blood-2010-04-281931 |
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We treated a patient with advanced follicular lymphoma by administering a preparative chemotherapy regimen followed by autologous T cells genetically engineered to express a chimeric antigen receptor (CAR) that recognized the B-cell antigen CD19. The patient's lymphoma underwent a dramatic regression, and B-cell precursors were selectively eliminated from the patient's bone marrow after infusion of anti–CD19-CAR-transduced T cells. Blood B cells were absent for at least 39 weeks after anti–CD19-CAR-transduced T-cell infusion despite prompt recovery of other blood cell counts. Consistent with eradication of B-lineage cells, serum immunoglobulins decreased to very low levels after treatment. The prolonged and selective elimination of B-lineage cells could not be attributed to the chemotherapy that the patient received and indicated antigen-specific eradication of B-lineage cells. Adoptive transfer of anti–CD19-CAR-expressing T cells is a promising new approach for treating B-cell malignancies. This study is registered at www.clinicaltrials.gov as #NCT00924326.</description><identifier>ISSN: 0006-4971</identifier><identifier>ISSN: 1528-0020</identifier><identifier>EISSN: 1528-0020</identifier><identifier>DOI: 10.1182/blood-2010-04-281931</identifier><identifier>PMID: 20668228</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Antigens, CD19 - immunology ; B-Lymphocytes - cytology ; Cell Lineage - immunology ; Gene Therapy ; Genetic Engineering ; Humans ; Lymphocyte Depletion ; Lymphoma - immunology ; Lymphoma - therapy ; Male ; Receptors, Antigen - immunology ; Remission Induction ; T-Lymphocytes - immunology ; T-Lymphocytes - transplantation ; Transduction, Genetic ; Transplantation, Autologous</subject><ispartof>Blood, 2010-11, Vol.116 (20), p.4099-4102</ispartof><rights>2010 American Society of Hematology</rights><rights>2010 by The American Society of Hematology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-39d318980dcebdcbf05c837e43dfdd588c3da780347c5c47220102b554e6953d3</citedby><cites>FETCH-LOGICAL-c494t-39d318980dcebdcbf05c837e43dfdd588c3da780347c5c47220102b554e6953d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S000649712031048X$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,315,786,790,891,3568,27957,27958,45815</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20668228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kochenderfer, James N.</creatorcontrib><creatorcontrib>Wilson, Wyndham H.</creatorcontrib><creatorcontrib>Janik, John E.</creatorcontrib><creatorcontrib>Dudley, Mark E.</creatorcontrib><creatorcontrib>Stetler-Stevenson, Maryalice</creatorcontrib><creatorcontrib>Feldman, Steven A.</creatorcontrib><creatorcontrib>Maric, Irina</creatorcontrib><creatorcontrib>Raffeld, Mark</creatorcontrib><creatorcontrib>Nathan, Debbie-Ann N.</creatorcontrib><creatorcontrib>Lanier, Brock J.</creatorcontrib><creatorcontrib>Morgan, Richard A.</creatorcontrib><creatorcontrib>Rosenberg, Steven A.</creatorcontrib><title>Eradication of B-lineage cells and regression of lymphoma in a patient treated with autologous T cells genetically engineered to recognize CD19</title><title>Blood</title><addtitle>Blood</addtitle><description>Adoptive transfer of genetically modified T cells is an attractive approach for generating antitumor immune responses. We treated a patient with advanced follicular lymphoma by administering a preparative chemotherapy regimen followed by autologous T cells genetically engineered to express a chimeric antigen receptor (CAR) that recognized the B-cell antigen CD19. The patient's lymphoma underwent a dramatic regression, and B-cell precursors were selectively eliminated from the patient's bone marrow after infusion of anti–CD19-CAR-transduced T cells. Blood B cells were absent for at least 39 weeks after anti–CD19-CAR-transduced T-cell infusion despite prompt recovery of other blood cell counts. Consistent with eradication of B-lineage cells, serum immunoglobulins decreased to very low levels after treatment. The prolonged and selective elimination of B-lineage cells could not be attributed to the chemotherapy that the patient received and indicated antigen-specific eradication of B-lineage cells. Adoptive transfer of anti–CD19-CAR-expressing T cells is a promising new approach for treating B-cell malignancies. This study is registered at www.clinicaltrials.gov as #NCT00924326.</description><subject>Antigens, CD19 - immunology</subject><subject>B-Lymphocytes - cytology</subject><subject>Cell Lineage - immunology</subject><subject>Gene Therapy</subject><subject>Genetic Engineering</subject><subject>Humans</subject><subject>Lymphocyte Depletion</subject><subject>Lymphoma - immunology</subject><subject>Lymphoma - therapy</subject><subject>Male</subject><subject>Receptors, Antigen - immunology</subject><subject>Remission Induction</subject><subject>T-Lymphocytes - immunology</subject><subject>T-Lymphocytes - transplantation</subject><subject>Transduction, Genetic</subject><subject>Transplantation, Autologous</subject><issn>0006-4971</issn><issn>1528-0020</issn><issn>1528-0020</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqFUctu1DAUjRCIDoU_QMg7Vil-JbE3SDC0gFSJTVlbjn2TMXLswfa0Gn6CX8bDDAU2sPLinofPOU3znOALQgR9NfoYbUsxwS3mLRVEMvKgWZGOihZjih82K4xx33I5kLPmSc5fMCac0e5xc0Zx3wtKxar5fpm0dUYXFwOKE3rbehdAz4AMeJ-RDhYlmBPkfEL4_bLdxEUjF5BG28qEUFBJoAtYdOfKBuldiT7OcZfRzUlnhgCl-ni_RxDm6gGpwkus6ibOwX0DtH5H5NPm0aR9hmen97z5fHV5s_7QXn96_3H95ro1XPLSMmkZEVJga2C0ZpxwZwQbgDM7WdsJYZjVg8CMD6YzfKCHnujYdRx62THLzpvXR93tblygqoSStFfb5Bad9ipqp_6-BLdRc7xVVErWk6EKvDwJpPh1B7moxeVDVh2gBley4z0hveD_RQosKnSgsiL5EWlSzDnBdP8fgtVhdPVzdHUIozBXx9Er7cWfWe5Jv1b-HRZqo7cOksqmrmbAutp-UTa6fzv8ABcdwOI</recordid><startdate>20101118</startdate><enddate>20101118</enddate><creator>Kochenderfer, James N.</creator><creator>Wilson, Wyndham H.</creator><creator>Janik, John E.</creator><creator>Dudley, Mark E.</creator><creator>Stetler-Stevenson, Maryalice</creator><creator>Feldman, Steven A.</creator><creator>Maric, Irina</creator><creator>Raffeld, Mark</creator><creator>Nathan, Debbie-Ann N.</creator><creator>Lanier, Brock J.</creator><creator>Morgan, Richard A.</creator><creator>Rosenberg, Steven A.</creator><general>Elsevier Inc</general><general>American Society of Hematology</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope><scope>5PM</scope></search><sort><creationdate>20101118</creationdate><title>Eradication of B-lineage cells and regression of lymphoma in a patient treated with autologous T cells genetically engineered to recognize CD19</title><author>Kochenderfer, James N. ; Wilson, Wyndham H. ; Janik, John E. ; Dudley, Mark E. ; Stetler-Stevenson, Maryalice ; Feldman, Steven A. ; Maric, Irina ; Raffeld, Mark ; Nathan, Debbie-Ann N. ; Lanier, Brock J. ; Morgan, Richard A. ; Rosenberg, Steven A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c494t-39d318980dcebdcbf05c837e43dfdd588c3da780347c5c47220102b554e6953d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Antigens, CD19 - immunology</topic><topic>B-Lymphocytes - cytology</topic><topic>Cell Lineage - immunology</topic><topic>Gene Therapy</topic><topic>Genetic Engineering</topic><topic>Humans</topic><topic>Lymphocyte Depletion</topic><topic>Lymphoma - immunology</topic><topic>Lymphoma - therapy</topic><topic>Male</topic><topic>Receptors, Antigen - immunology</topic><topic>Remission Induction</topic><topic>T-Lymphocytes - immunology</topic><topic>T-Lymphocytes - transplantation</topic><topic>Transduction, Genetic</topic><topic>Transplantation, Autologous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kochenderfer, James N.</creatorcontrib><creatorcontrib>Wilson, Wyndham H.</creatorcontrib><creatorcontrib>Janik, John E.</creatorcontrib><creatorcontrib>Dudley, Mark E.</creatorcontrib><creatorcontrib>Stetler-Stevenson, Maryalice</creatorcontrib><creatorcontrib>Feldman, Steven A.</creatorcontrib><creatorcontrib>Maric, Irina</creatorcontrib><creatorcontrib>Raffeld, Mark</creatorcontrib><creatorcontrib>Nathan, Debbie-Ann N.</creatorcontrib><creatorcontrib>Lanier, Brock J.</creatorcontrib><creatorcontrib>Morgan, Richard A.</creatorcontrib><creatorcontrib>Rosenberg, Steven A.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Blood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kochenderfer, James N.</au><au>Wilson, Wyndham H.</au><au>Janik, John E.</au><au>Dudley, Mark E.</au><au>Stetler-Stevenson, Maryalice</au><au>Feldman, Steven A.</au><au>Maric, Irina</au><au>Raffeld, Mark</au><au>Nathan, Debbie-Ann N.</au><au>Lanier, Brock J.</au><au>Morgan, Richard A.</au><au>Rosenberg, Steven A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eradication of B-lineage cells and regression of lymphoma in a patient treated with autologous T cells genetically engineered to recognize CD19</atitle><jtitle>Blood</jtitle><addtitle>Blood</addtitle><date>2010-11-18</date><risdate>2010</risdate><volume>116</volume><issue>20</issue><spage>4099</spage><epage>4102</epage><pages>4099-4102</pages><issn>0006-4971</issn><issn>1528-0020</issn><eissn>1528-0020</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-1</notes><notes>content type line 23</notes><abstract>Adoptive transfer of genetically modified T cells is an attractive approach for generating antitumor immune responses. We treated a patient with advanced follicular lymphoma by administering a preparative chemotherapy regimen followed by autologous T cells genetically engineered to express a chimeric antigen receptor (CAR) that recognized the B-cell antigen CD19. The patient's lymphoma underwent a dramatic regression, and B-cell precursors were selectively eliminated from the patient's bone marrow after infusion of anti–CD19-CAR-transduced T cells. Blood B cells were absent for at least 39 weeks after anti–CD19-CAR-transduced T-cell infusion despite prompt recovery of other blood cell counts. Consistent with eradication of B-lineage cells, serum immunoglobulins decreased to very low levels after treatment. The prolonged and selective elimination of B-lineage cells could not be attributed to the chemotherapy that the patient received and indicated antigen-specific eradication of B-lineage cells. Adoptive transfer of anti–CD19-CAR-expressing T cells is a promising new approach for treating B-cell malignancies. This study is registered at www.clinicaltrials.gov as #NCT00924326.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>20668228</pmid><doi>10.1182/blood-2010-04-281931</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Antigens, CD19 - immunology B-Lymphocytes - cytology Cell Lineage - immunology Gene Therapy Genetic Engineering Humans Lymphocyte Depletion Lymphoma - immunology Lymphoma - therapy Male Receptors, Antigen - immunology Remission Induction T-Lymphocytes - immunology T-Lymphocytes - transplantation Transduction, Genetic Transplantation, Autologous |
title | Eradication of B-lineage cells and regression of lymphoma in a patient treated with autologous T cells genetically engineered to recognize CD19 |
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