Graft-versus-host disease risk after chimeric antigen receptor T-cell therapy: the diametric opposition of T cells

Khaled Sanber, Bipin Savani, Tania Jain

Research output: Contribution to journalReview articlepeer-review

Abstract

Chimeric antigen receptor (CAR) T-cell therapy has brought a paradigm shift in the management of haematological malignancies and has opened novel avenues of investigational therapeutic strategies. Given these encouraging responses, it has become imperative to understand the full spectrum of biology and potential toxicities that can arise from these novel agents, as well as those under investigation. With the increasing use of CAR T-cell therapy for relapse following allogeneic haematopoietic cell transplantation (HCT) and the imminence of allogeneic CAR T cells, risks from T cell-based therapy, such as the previously well-recognised graft-versus-host disease (GVHD), have gained prominence and warrant explanation. In the present review, we discuss the risk of GVHD in the: (1) post-HCT setting using recipient or donor-derived CAR T cells, as well as (2) non-HCT setting using autologous, as well as allogeneic T-cell therapies. A better understanding of this risk is important to advance the field and ensure safe development and use of these agents in the clinic.

Original languageEnglish (US)
Pages (from-to)660-668
Number of pages9
JournalBritish journal of haematology
Volume195
Issue number5
DOIs
StatePublished - Dec 2021

Keywords

  • T cells
  • chimeric antigen receptor T-cell therapy
  • graft-versus-host disease

ASJC Scopus subject areas

  • Hematology

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