BPDCN: When polychemotherapy does not compromise allogeneic CD123 CAR-T cell cytotoxicity

EJHaem. 2020 Dec 13;2(1):125-130. doi: 10.1002/jha2.149. eCollection 2021 Feb.

Abstract

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare hematological malignancy with poor prognosis and no treatment consensus. Combining chemotherapy and immunotherapy is a promising strategy to enhance therapeutic effect. Before combining these therapies, the influence of one on the other has to be explored. We set up a model to test the combination of polychemotherapy - named methotrexate, idarubicine, dexamethasone, and L-asparaginase (MIDA) - and CD123 CAR-T cell therapy. We showed that CD123 CAR-T cells exert the same effect on BPDCN models alone, or after MIDA regimen. These data support a preclinical rationale to use immunotherapy after a treatment with polychemotherapy for BPDCN patients.

Keywords: T cells; acute leukemia; cell therapy; chemotherapy; immunology.

Publication types

  • Case Reports