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BPDCN: When Polychemotherapy Does Not Compromise Allogeneic CD123 CAR-T Cell Cytotoxicity

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.

Citing Articles

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

Poussard M, Philippe L, Fredon M, Bole-Richard E, Biichle S, Renosi F EJHaem. 2022; 2(1):125-130.

PMID: 35846081 PMC: 9176134. DOI: 10.1002/jha2.149.

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Poussard M, Philippe L, Fredon M, Bole-Richard E, Biichle S, Renosi F . BPDCN: When polychemotherapy does not compromise allogeneic CD123 CAR-T cell cytotoxicity. EJHaem. 2022; 2(1):125-130. PMC: 9176134. DOI: 10.1002/jha2.149. View