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Fig. 6 | Journal of Hematology & Oncology

Fig. 6

From: A novel generation 1928zT2 CAR T cells induce remission in extramedullary relapse of acute lymphoblastic leukemia

Fig. 6

The expansion of 1928zT2 T cells and relevant clinical changes in these patients. a The results of flow-cytometric GFP-positive cells analysis in patient 1 showed the 1928zT2 T cells were expanded significantly which began on day 5, peak on day 12, and disappeared after day 92. The CD19-positive cells in periphery blood were dropped quickly within 10 days to the undetectable level and increased again. b Patient 2 presented with the presence and elevation of GFP+1928zT2 T cells in the periphery blood from day 10 to day 50. The CD19+ cells were reduced significantly till undetectable. c Since the patient 2 had the relapse also in the BM, we found the upregulation of 1928zT2 T cells in the BM, accompanied with eradication of CD19+ cells. d The 1928zT2 T cells was expanded significantly on day 12 with 57% of T cells and was undetectable after day 17 in the patient 3. e shows the presence of 1928zT2 T cells in CSF from patient 3 with a peak on day 18, indicating the trafficking ability of these cells. Consistently, the blast cells in CSF were undetectable after day 18. f shows changes in body temperature after1928zT2 T infusion in these three patients. g Patient 1 suffered from grade 2 CRS with fever from day 7 to day 13. IL-6 was elevated slightly with a peak level on day 11, coincided with the occurrence of CRS. The C-Reactive protein (CRP) was also increased. h Patient 2 also suffered from CRS with grade 2 from day 9 to day 12 and the expression pattern of IL-6 and CRP was similar to patient 1. i For the patient 3, IL-6 was elevated markedly with a peak level on day 10 and decreased after twice usage of tocilizumab, coincided with the occurrence of CRS from day 7 to day 15 (black arrows)

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