Patients with gastrointestinal irritability after TGN1412-induced cytokine storm displayed selective expansion of gut-homing αβ and γδT cells

Autor: Andrew J. Stagg, Claire L. Price, Hafid O. Al-Hassi, Stella C. Knight, Nicki Panoskaltsis, Elizabeth R. Mann, Neil E. McCarthy, Nichola L. Gellatly
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Cancer Research
Gastrointestinal Diseases
Receptors
Antigen
T-Cell
alpha-beta

medicine.medical_treatment
Cytokine storm
0302 clinical medicine
Immunology and Allergy
Vδ2+ γδT cells
biology
IMMUNE-RESPONSES
INDUCTION
Receptors
Antigen
T-Cell
gamma-delta

TGN1412
Cytokine release syndrome
Oncology
1107 Immunology
Cytokines
Original Article
Immunotherapy
Antibody
medicine.symptom
Life Sciences & Biomedicine
TCR
Adult
EXPRESSION
MAINTENANCE THERAPY
Integrin
Immunology
Immune-related adverse events (irAEs)
Antibodies
Monoclonal
Humanized

Irritability
Young Adult
03 medical and health sciences
CD28 Antigens
VEDOLIZUMAB
medicine
Humans
Science & Technology
business.industry
TRANSPLANTATION
MEMORY
medicine.disease
Leukocytes
Mononuclear

biology.protein
business
V delta 2(+)gamma delta T cells
030215 immunology
Homing (hematopoietic)
Zdroj: Cancer Immunology, Immunotherapy
Popis: Following infusion of the anti-CD28 superagonist monoclonal antibody TGN1412, three of six previously healthy, young male recipients developed gastrointestinal irritability associated with increased expression of ‘gut-homing’ integrin β7 on peripheral blood αβT cells. This subset of patients with intestinal symptoms also displayed a striking and persistent expansion of putative Vδ2+ γδT cells in the circulation which declined over a 2-year period following drug infusion, concordant with subsiding gut symptoms. These data demonstrate that TGN1412-induced gastrointestinal symptoms were associated with dysregulation of the ‘gut-homing’ pool of blood αβ and γδT cells, induced directly by the antibody and/or arising from the subsequent cytokine storm. Electronic supplementary material The online version of this article (10.1007/s00262-020-02723-4) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE