Relative expansion of CD19?negative very?early normal B?cell precursors in children with acute lymphoblastic leukaemia after CD19 targeting by blinatumomab and CAR?T cell therapy: implications for flow cytometric detection of minimal residual disease

نویسندگان

چکیده

CD19-directed treatment in B-cell precursor acute lymphoblastic leukaemia (BCP-ALL) frequently leads to the downmodulation of targeted antigens. As multicolour flow cytometry (MFC) application for minimal/measurable residual disease (MRD) assessment BCP-ALL is based on compartment study, CD19 loss could hamper MFC-MRD monitoring after blinatumomab or chimeric antigen receptor T-cell (CAR-T) therapy. The use other antigens (CD22, CD10, CD79a, etc.) as B-lineage gating markers allows identification CD19-negative leukaemia, but it also lead misidentification normal very-early BCPs tumour blasts. In current we summarized results investigation 106 children with who underwent targeting (blinatumomab, n = 64; CAR-T, 25; both, 17). It was found that be bone marrow more than healthy donors and during chemotherapy stem cell transplantation. Analysis expression profile revealed mixed up leukaemic blasts, even bioinformatic analyses MFC data. our study should help investigate accurately patients have undergone CD19-targeted therapy, cases BCP expansion.

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ژورنال

عنوان ژورنال: British Journal of Haematology

سال: 2021

ISSN: ['0007-1048', '1365-2141']

DOI: https://doi.org/10.1111/bjh.17382