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  1. Article ; Online: Relapsed/Refractory Peripheral T-Cell Lymphoma-Associated Hemophagocytic Lymphohistiocytosis With UNC13D and CD27 Germline Mutations.

    Yang, Tingting / Chen, Rongrong / Zhang, Mingming / Jing, Ruirui / Geng, Jia / Wei, Guoqing / Luo, Yi / Xiao, Pingnan / Hong, Ruimin / Feng, Jingjing / Fu, Shan / Zhao, Houli / Cui, Jiazhen / Huang, Simao / Huang, He / Hu, Yongxian

    Cell transplantation

    2024  Volume 33, Page(s) 9636897231221887

    Abstract: Hemophagocytic lymphohistiocytosis (HLH) is a severe hyperinflammatory disease characterized by familial and acquired forms. Here, we present the case of a 26-year-old male patient with relapsed/refractory peripheral T-cell lymphoma and concurrent HLH. ... ...

    Abstract Hemophagocytic lymphohistiocytosis (HLH) is a severe hyperinflammatory disease characterized by familial and acquired forms. Here, we present the case of a 26-year-old male patient with relapsed/refractory peripheral T-cell lymphoma and concurrent HLH. Whole-exon sequencing revealed germline mutations associated with HLH, including those in critical genes such as
    MeSH term(s) Male ; Humans ; Adult ; Germ-Line Mutation ; Lymphoma, T-Cell, Peripheral ; Lymphohistiocytosis, Hemophagocytic/complications ; Lymphohistiocytosis, Hemophagocytic/genetics ; Lymphohistiocytosis, Hemophagocytic/therapy ; Neoplasm Recurrence, Local ; Mutation ; Membrane Proteins
    Chemical Substances UNC13D protein, human ; Membrane Proteins
    Language English
    Publishing date 2024-01-06
    Publishing country United States
    Document type Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1135816-6
    ISSN 1555-3892 ; 0963-6897
    ISSN (online) 1555-3892
    ISSN 0963-6897
    DOI 10.1177/09636897231221887
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Safety and efficacy of autologous and allogeneic humanized CD19-targeted CAR-T cell therapy for patients with relapsed/refractory B-ALL.

    Song, Fengmei / Hu, Yongxian / Zhang, Yanlei / Zhang, Mingming / Yang, Tingting / Wu, Wenjun / Huang, Simao / Xu, Huijun / Chang, Alex H / Huang, He / Wei, Guoqing

    Journal for immunotherapy of cancer

    2023  Volume 11, Issue 2

    Abstract: Background: Murine chimeric antigen receptor T (CAR-T) cell therapy has demonstrated clinical benefit in patients with relapsed/refractory (R/R) B-cell acute lymphoblastic leukemia (B-ALL). However, the potential immunogenicity of the murine single- ... ...

    Abstract Background: Murine chimeric antigen receptor T (CAR-T) cell therapy has demonstrated clinical benefit in patients with relapsed/refractory (R/R) B-cell acute lymphoblastic leukemia (B-ALL). However, the potential immunogenicity of the murine single-chain variable fragment domain may limit the persistence of CAR-T cell, leading to relapse.
    Methods: We performed a clinical trial to determine the safety and efficacy of autologous and allogeneic humanized CD19-targeted CAR-T cell (hCART19) for R/R B-ALL. Fifty-eight patients (aged 13-74 years) were enrolled and treated between February 2020 and March 2022. The endpoints were complete remission (CR) rate, overall survival (OS), event-free survival (EFS), and safety.
    Results: Overall, 93.1% (54/58) of patients achieved CR or CR with incomplete count recovery (CRi) by day 28, with 53 patients having minimal residual disease negativity. With a median follow-up of 13.5 months, the estimated 1-year OS and EFS were 73.6% (95% CI 62.1% to 87.4%) and 46.0% (95% CI 33.7% to 62.8%), with a median OS and EFS of 21.5 months and 9.5 months, respectively. No significant increase in human antimouse antibodies was observed following infusion (p=0.78). Duration of B-cell aplasia in the blood was observed for as long as 616 days, which was longer than that in our prior mCART19 trial. All toxicities were reversible, including severe cytokine release syndrome, which developed in 36% (21/58) of patients and severe neurotoxicity, which developed in 5% (3/58) of patients. Compared with our prior mCART19 trial, patients treated with hCART19 had longer EFS without increased toxicity. Additionally, our data also suggest that patients treated with consolidation therapy, including allogeneic hematopoietic stem cell transplantation or CD22-targeted CAR-T cell, following hCART19 therapy had a longer EFS than those without consolidation therapy.
    Conclusion: hCART19 has good short-term efficacy and manageable toxicity in R/R B-ALL patients.
    Trial registration number: NCT04532268.
    MeSH term(s) Humans ; Animals ; Mice ; Receptors, Chimeric Antigen/therapeutic use ; Immunotherapy, Adoptive/adverse effects ; Precursor Cell Lymphoblastic Leukemia-Lymphoma/therapy ; Hematopoietic Stem Cell Transplantation ; Progression-Free Survival ; Lymphoma, B-Cell/drug therapy ; Antigens, CD19 ; Acute Disease ; Adaptor Proteins, Signal Transducing
    Chemical Substances Receptors, Chimeric Antigen ; Antigens, CD19 ; Adaptor Proteins, Signal Transducing
    Language English
    Publishing date 2023-02-24
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2719863-7
    ISSN 2051-1426 ; 2051-1426
    ISSN (online) 2051-1426
    ISSN 2051-1426
    DOI 10.1136/jitc-2022-005701
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Sequential CD7 CAR T-Cell Therapy and Allogeneic HSCT without GVHD Prophylaxis.

    Hu, Yongxian / Zhang, Mingming / Yang, Tingting / Mo, Zhuomao / Wei, Guoqing / Jing, Ruirui / Zhao, Houli / Chen, Rongrong / Zu, Cheng / Gu, Tianning / Xiao, Pingnan / Hong, Ruimin / Feng, Jingjing / Fu, Shan / Kong, Delin / Xu, Huijun / Cui, Jiazhen / Huang, Simao / Liang, Bin /
    Yuan, Xiaolin / Cui, Qu / Guo, Hongshan / Yu, Yunxian / Feng, Youqin / Jin, Chunxiang / Ren, Jiangtao / Chang, Alex H / Wang, Dongrui / Huang, He

    The New England journal of medicine

    2024  Volume 390, Issue 16, Page(s) 1467–1480

    Abstract: Background: Patients with relapsed or refractory hematologic cancers have a poor prognosis. Chimeric antigen receptor (CAR) T-cell therapy as a bridge to allogeneic hematopoietic stem-cell transplantation (HSCT) has the potential for long-term tumor ... ...

    Abstract Background: Patients with relapsed or refractory hematologic cancers have a poor prognosis. Chimeric antigen receptor (CAR) T-cell therapy as a bridge to allogeneic hematopoietic stem-cell transplantation (HSCT) has the potential for long-term tumor elimination. However, pre-HSCT myeloablation and graft-versus-host disease (GVHD) prophylaxis agents have toxic effects and could eradicate residual CAR T cells and compromise antitumor effects. Whether the integration of CAR T-cell therapy and allogeneic HSCT can preserve CAR T-cell function and improve tumor control is unclear.
    Methods: We tested a novel "all-in-one" strategy consisting of sequential CD7 CAR T-cell therapy and haploidentical HSCT in 10 patients with relapsed or refractory CD7-positive leukemia or lymphoma. After CAR T-cell therapy led to complete remission with incomplete hematologic recovery, patients received haploidentical HSCT without pharmacologic myeloablation or GVHD prophylaxis drugs. Toxic effects and efficacy were closely monitored.
    Results: After CAR T-cell therapy, all 10 patients had complete remission with incomplete hematologic recovery and grade 4 pancytopenia. After haploidentical HSCT, 1 patient died on day 13 of septic shock and encephalitis, 8 patients had full donor chimerism, and 1 patient had autologous hematopoiesis. Three patients had grade 2 HSCT-associated acute GVHD. The median follow-up was 15.1 months (range, 3.1 to 24.0) after CAR T-cell therapy. Six patients remained in minimal residual disease-negative complete remission, 2 had a relapse of CD7-negative leukemia, and 1 died of septic shock at 3.7 months. The estimated 1-year overall survival was 68% (95% confidence interval [CI], 43 to 100), and the estimated 1-year disease-free survival was 54% (95% CI, 29 to 100).
    Conclusions: Our findings suggest that sequential CD7 CAR T-cell therapy and haploidentical HSCT is safe and effective, with remission and serious but reversible adverse events. This strategy offers a feasible approach for patients with CD7-positive tumors who are ineligible for conventional allogeneic HSCT. (Funded by the National Natural Science Foundation of China and the Key Project of Science and Technology Department of Zhejiang Province; ClinicalTrials.gov numbers, NCT04599556 and NCT04538599.).
    MeSH term(s) Adolescent ; Adult ; Female ; Humans ; Male ; Middle Aged ; Young Adult ; Antigens, CD7 ; Combined Modality Therapy ; Graft vs Host Disease/prevention & control ; Hematopoietic Stem Cell Transplantation/adverse effects ; Hematopoietic Stem Cell Transplantation/methods ; Immunotherapy, Adoptive/adverse effects ; Immunotherapy, Adoptive/methods ; Leukemia/therapy ; Leukemia/mortality ; Lymphoma/mortality ; Lymphoma/therapy ; Receptors, Chimeric Antigen/therapeutic use ; Remission Induction ; Transplantation, Homologous ; Recurrence ; Aged
    Chemical Substances Antigens, CD7 ; Receptors, Chimeric Antigen
    Language English
    Publishing date 2024-04-23
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMoa2313812
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: GPRC5D CAR T cells (OriCAR-017) in patients with relapsed or refractory multiple myeloma (POLARIS): a first-in-human, single-centre, single-arm, phase 1 trial.

    Zhang, Mingming / Wei, Guoqing / Zhou, Linghui / Zhou, Jincai / Chen, Siye / Zhang, Wei / Wang, Dongrui / Luo, Xueping / Cui, Jiazhen / Huang, Simao / Fu, Shan / Zhou, Xinkai / Tang, Yu / Ding, Xiaomin / Kuang, Jiao / He, Xiaowen Peter / Hu, Yongxian / Huang, He

    The Lancet. Haematology

    2022  Volume 10, Issue 2, Page(s) e107–e116

    Abstract: Background: Chimeric antigen receptor (CAR) T-cell therapy targeting B-cell maturation antigen (BCMA) has shown activity in treating relapsed or refractory multiple myeloma; however, relapse is still common, and new targets are needed. We aimed to ... ...

    Abstract Background: Chimeric antigen receptor (CAR) T-cell therapy targeting B-cell maturation antigen (BCMA) has shown activity in treating relapsed or refractory multiple myeloma; however, relapse is still common, and new targets are needed. We aimed to assess the activity and safety profile of G protein-coupled receptor class C group 5 member D (GPRC5D)-targeted CAR T cells (OriCAR-017) in patients with relapsed or refractory multiple myeloma.
    Methods: POLARIS was a first-in-human, single-centre, single-arm, phase 1 trial of GPRC5D-targeted CAR T cells (OriCAR-017) done at the First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. Eligible patients were adults aged 18-75 years with a diagnosis of relapsed or refractory multiple myeloma and an ECOG performance status of 0-2, had GPRC5D expression in bone marrow plasma cells greater than 20% or were positive for GPRC5D by immunohistochemistry, and had received at least three previous lines of treatment including proteasome inhibitors, immunomodulatory drugs, and chemotherapy. Patients were consecutively assigned to receive a single dose of intravenous OriCAR-017 at 1 × 10
    Findings: Between June 9, 2021, and Feb 28, 2022, we recruited 13 patients for inclusion into the study. One patient was excluded because of GPRC5D negativity and two patients discontinued after apheresis because of rapid progression. Nine patients were assigned to the dose escalation phase (three received 1 × 10
    Interpretation: The results of this study suggest that GPRC5D is an active target for immunotherapy in multiple myeloma. GPRC5D-targeted CAR T-cell therapy is a promising treatment modality for patients with relapsed or refractory multiple myeloma and deserves further testing.
    Funding: OriCell Therapeutics.
    MeSH term(s) Adult ; Humans ; Male ; Female ; Multiple Myeloma/drug therapy ; B-Cell Maturation Antigen ; Pandemics ; Neoplasm Recurrence, Local ; COVID-19 ; Anemia ; Thrombocytopenia ; T-Lymphocytes ; Receptors, G-Protein-Coupled/therapeutic use
    Chemical Substances B-Cell Maturation Antigen ; Receptors, G-Protein-Coupled ; GPRC5D protein, human
    Language English
    Publishing date 2022-10-08
    Publishing country England
    Document type Clinical Trial, Phase I ; Journal Article
    ISSN 2352-3026
    ISSN (online) 2352-3026
    DOI 10.1016/S2352-3026(22)00372-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Isolation, characterization and bioactivities of the polysaccharides from Dicliptera chinensis (L.) Juss.

    Xu, Yourui / Gao, Ya / Zhong, Mingli / Li, Jun / Cao, Houkang / Huang, Simao / Wei, Riming / Zhang, Kefeng

    International journal of biological macromolecules

    2017  Volume 101, Page(s) 603–611

    Abstract: The polysaccharides of Dicliptera chinensis (L.) Juss. (DCP-1 and DCP-2) were extracted and isolated using the methods of water extract-ethanol precipitate and sephadex column chromatography and characterized by gel permeation chromatography (GPC), ... ...

    Abstract The polysaccharides of Dicliptera chinensis (L.) Juss. (DCP-1 and DCP-2) were extracted and isolated using the methods of water extract-ethanol precipitate and sephadex column chromatography and characterized by gel permeation chromatography (GPC), Fourier transform infrared spectrometry (FT-IR) and gas chromatography (GC), respectively. The antioxidant activity of DCPs was evaluated by scavenging activity of DPPH, hydroxyl, superoxide anion and ABTS radical. Moreover, the anti-aging activity of DCP-2 was investigated using an aging model-induced by D-galactose (D-gal) in mice. The results show that the weight average molecular weight (Mw) of DCP-2 was 2 273Da with a narrow polydispersity index of 1.01, and it was a heteropolysaccharide and consisted of glucose, galactose, arabinose, rhamnose and mannose with a molar ratio of 3.20:2.54:1.69:1.58:1.00. DCP-2 had stronger antioxidant activity against DPPH, hydroxyl, superoxide anion and ABTS radical, while DCP-1 had hardly any antioxidant activity and DCP had weaker antioxidant activity. Furthermore, DCP-2 can enhance antioxidant capacity and had anti-aging activity against D-gal induced aging mice. These results proposed that DCP-2 might be developed as a potential functional food with the activity of anti-aging.
    Language English
    Publishing date 2017-08
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 282732-3
    ISSN 1879-0003 ; 0141-8130
    ISSN (online) 1879-0003
    ISSN 0141-8130
    DOI 10.1016/j.ijbiomac.2017.03.112
    Database MEDical Literature Analysis and Retrieval System OnLINE

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