Cytokine release syndrome after blinatumomab treatment related to abnormal macrophage activation and ameliorated with cytokine-directed therapy

Author:

Teachey David T.12,Rheingold Susan R.12,Maude Shannon L.12,Zugmaier Gerhard3,Barrett David M.12,Seif Alix E.12,Nichols Kim E.12,Suppa Erica K.4,Kalos Michael4,Berg Robert A.56,Fitzgerald Julie C.56,Aplenc Richard12,Gore Lia7,Grupp Stephan A.12

Affiliation:

1. Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA;

2. Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA;

3. Amgen Research (Munich) GmBH, Munich, Germany;

4. Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA;

5. Division of Critical Care, Children's Hospital of Philadelphia, Philadelphia, PA;

6. Department of Anesthesiology and Critical Care Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA; and

7. Department of Pediatrics, University of Colorado Cancer Center, Aurora, CO

Abstract

Key Points Cytokine release syndrome caused by T cell-directed therapies may be driven by abnormal macrophage activation and hemophagocytic syndrome. Cytokine-directed therapy can be effective against life-threatening cytokine release syndrome.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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