Evidence map›Paper›PMID 34349766›Full record

ReviewFrontiers in immunology2021

Case Report: Local Cytokine Release Syndrome in an Acute Lymphoblastic Leukemia Patient After Treatment With Chimeric Antigen Receptor T-Cell Therapy: A Possible Model, Literature Review and Perspective.

Chengxin Luan, Junjie Zhou, Haixia Wang, Xiaoyu Ma, Zhangbiao Long, Xin Cheng, Xiaowen Chen, Zhenqi Huang, Dagan Zhang, Ruixiang Xia and 1 more

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
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  4. Review
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  11. Review
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  13. Efficacy and safety of CD19 CAR-T cell therapy for patients with B cell acute lymphoblastic leukemia involving extramedullary relapse.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2022
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Chengxin LuanDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Junjie ZhouDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Haixia WangDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Xiaoyu MaDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Zhangbiao LongDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Xin ChengDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Xiaowen ChenDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Zhenqi HuangDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Dagan ZhangInstitute of Translational Medicine, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Ruixiang XiaDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Jian GeDepartment of Hematology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
First Affiliated Hospital of Anhui Medical University · CNAnhui Medical University · CNNanjing Drum Tower Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor T (CAR-T) cell therapy has achieved remarkable clinical efficacy in treatment of many malignancies especially for B-cell hematologic malignancies. However, the application of CAR-T cells is hampered by potentially adverse events, of which cytokine release syndrome (CRS) is one of the severest and the most studied. Local cytokine-release syndrome (L-CRS) at particular parts of the body has been reported once in a while in B-cell lymphoma or other compartmental tumors. The underlying mechanism of L-CRS is not well understood and the existing reports attempting to illustrate it only involve compartmental tumors, some of which even indicated L-CRS only happens in compartmental tumors. Acute lymphoblastic leukemia (ALL) is systemic and our center treated a B-cell ALL patient who exhibited life threatening dyspnea, L-CRS was under suspicion and the patient was successfully rescued with treatment algorithm of CRS. The case is the firstly reported L-CRS related to systemic malignancies and we tentatively propose a model to illustrate the occurrence and development of L-CRS of systemic malignancies inspired by the case and literature, with emphasis on the new recognition of L-CRS.

Indexed as

Cytokine Release SyndromeFemaleHumansImmunotherapy, AdoptiveMiddle AgedPrecursor Cell Lymphoblastic Leukemia-LymphomaReceptors, Chimeric AntigenReceptors, Chimeric Antigenacute lymphoblastic leukemiachimeric antigen receptor T therapylocal cytokine-release syndromepossible modelsystemic cytokine-release syndrome

Identifiers

PMID34349766
PMCPMC8326907
OpenAlexW3183699757

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.