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MWM

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Alias Born 03/31/2006

MWM

Re: rstar post# 27586

Wednesday, 04/07/2021 8:17:35 AM

Wednesday, April 07, 2021 8:17:35 AM

Post# of 44363
"CAR-T cell clinical trial showed that among serum biomarkers associated with development with grade 3 or higher neurotoxicity, GM-CSF elevation was most significantly associated with neurotoxicity3. Recent preclinical studies have demonstrated that neurotoxicity and CRS are decreased and CAR-T cell activity is increased after inhibition of macrophage activating and monocyte activating cytokine GM-CSF with lenzilumab87,98,99. GM-CSF mutational inactivation also appears to have similar effects in CAR transduced T cells98,100.
Therefore, these findings suggest that GM-CSF neutralization helps diminish neurotoxicity and reduce CRS98. In addition, deletion of tyrosine hydroxylase in a myeloid cell specific manner or inhibition of this enzyme using metyrosine results in decreased catecholamine and cytokine levels101. Preclinical evidence also suggests that IL-1 receptor antagonists reduced a form of neuroinflammation in leukemia/lymphoma mouse models treated with CD19 targeted CARs102."

$HGEN #Lenzilumab

https://www.nature.com/articles/s41408-021-00459-7

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