Transcriptomics

Dataset Information

0

IFNgamma-driven skewing towards Th1 over Th17 differentiation underlies CRS and neutropenia in CAR-T therapy


ABSTRACT: CAR-T (Chimeric antigen receptor T cell) therapy has led to significant improvements in patient survival. However, a subset of patients experience high-grade toxicities, including cytokine release syndrome (CRS) and immune cell-associated hematological toxicity (ICAHT). We utilized IL-2Ralpha knockout mice to model toxicities with elevated levels of IL-6, IFNgamma, and TNFalpha and increased M1-like macrophages. Onset of CRS was accompanied by a reduction in peripheral blood neutrophils due to disruption of bone marrow neutrophil homeostasis characterized by an increase in apoptotic neutrophils and a decrease in proliferative and mature neutrophils. Both non-tumor-bearing and Emu-ALL tumor-bearing mice recapitulated the co-occurrence of CRS and neutropenia. IFNgamma-blockade alleviated CRS and neutropenia without affecting CAR-T efficacy. Mechanistically, a Th1-Th17 imbalance was observed to drive co-occurrence of CRS and neutropenia in an IFNgamma-dependent manner leading to decreased IL-17A and G-CSF, neutrophil production, and neutrophil survival. In patients, we observed an increase in the IFNgamma-to-IL-17A ratio in the peripheral blood during high-grade CRS and neutropenia. We have uncovered a biological basis for ICAHT and provide support for the use of IFNgamma-blockade to reduce both CRS and neutropenia.

ORGANISM(S): Mus musculus

PROVIDER: GSE308219 | GEO | 2025/09/17

REPOSITORIES: GEO

Dataset's files

Source:
Action DRS
Other
Items per page:
1 - 1 of 1

Similar Datasets

2025-05-14 | GSE246490 | GEO
2025-07-20 | GSE302543 | GEO
2013-05-01 | E-GEOD-42358 | biostudies-arrayexpress
2018-05-28 | GSE111236 | GEO
2025-05-23 | GSE297403 | GEO
2013-05-01 | GSE42358 | GEO
2018-02-05 | GSE108894 | GEO
2025-04-16 | GSE255323 | GEO
2012-12-05 | E-GEOD-36826 | biostudies-arrayexpress
2023-12-06 | GSE243587 | GEO