PMID- 35049413 OWN - NLM STAT- MEDLINE DCOM- 20220404 LR - 20220531 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 18 IP - 1 DP - 2022 Dec 31 TI - IL-6/IFN-gamma double knockdown CAR-T cells reduce the release of multiple cytokines from PBMCs in vitro. PG - 1-14 LID - 10.1080/21645515.2021.2016005 [doi] AB - CD19-targeted chimeric antigen receptor T (anti-CD19 CAR-T) cells have shown good therapeutic results in the treatment of CD19 + B cell acute lymphocytic leukemia and lymphoma. However, severe side reactions and cytotoxicity are great challenges in the application of anti-CD19 CAR-T cell therapy. Cytokine release syndrome (CRS) is the main side effect of CAR-T cell treatment, and interleukin-6 (IL-6) and interferon gamma (IFN-gamma) are cytokines that play major roles in CRS. Therefore, we investigated double knockdown (KD) of IL-6 and IFN-gamma as a potential strategy to manage anti-CD19 CAR-T cell-associated CRS. These improved anti-CD19 CAR-T cells therapy retained the advantages of the original anti-CD19 CAR-T cells and additionally reduced the release of cytokines from CAR-T cells and other immune cells. Moreover, this study presented a novel approach to abrogate CRS through IL-6 and IFN-gamma KD, which may potentially inhibit the release of multiple cytokines from CAR-T cells and peripheral blood mononuclear cells (PBMCs), a model of CRS correlate with in vivo features of the CAR-T therapy, thereby reducing the impact of CRS, improving the safety of CAR-T cell treatment, reducing toxicities, and maintaining the function of CAR-T cells. FAU - Zhang, Huihui AU - Zhang H AD - R&D Department, Qilu Cell Therapy Technology Co., Ltd, Jinan, Shandong, China. FAU - Lv, Xiaofei AU - Lv X AD - Institute of Immunotherapy, Yinfeng Life Science Research Institute, Jinan, Shandong, China. FAU - Kong, Qunfang AU - Kong Q AD - R&D Department, Qilu Cell Therapy Technology Co., Ltd, Jinan, Shandong, China. FAU - Tan, Yi AU - Tan Y AUID- ORCID: 0000-0001-7310-9355 AD - R&D Department, Qilu Cell Therapy Technology Co., Ltd, Jinan, Shandong, China. AD - Institute of Immunotherapy, Yinfeng Life Science Research Institute, Jinan, Shandong, China. LA - eng PT - Journal Article DEP - 20220120 PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (Cytokines) RN - 0 (Interleukin-6) RN - 0 (Receptors, Chimeric Antigen) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Cells, Cultured MH - Cytokine Release Syndrome/prevention & control MH - *Cytokines/metabolism MH - Gene Knockdown Techniques MH - Humans MH - Immunotherapy, Adoptive MH - *Interferon-gamma/genetics MH - *Interleukin-6/genetics MH - *Leukocytes, Mononuclear/metabolism MH - Receptors, Chimeric Antigen MH - *T-Lymphocytes/cytology PMC - PMC8973323 OTO - NOTNLM OT - Chimeric antigen receptor OT - cytokine release syndrome OT - gene knockdown OT - interferon gamma OT - interleukin-6 COIS- No potential conflict of interest was reported by the author(s). EDAT- 2022/01/21 06:00 MHDA- 2022/04/05 06:00 PMCR- 2022/01/20 CRDT- 2022/01/20 12:21 PHST- 2022/01/21 06:00 [pubmed] PHST- 2022/04/05 06:00 [medline] PHST- 2022/01/20 12:21 [entrez] PHST- 2022/01/20 00:00 [pmc-release] AID - 2016005 [pii] AID - 10.1080/21645515.2021.2016005 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2022 Dec 31;18(1):1-14. doi: 10.1080/21645515.2021.2016005. Epub 2022 Jan 20.