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Risk of HBV reactivation post CD19-CAR-T cell therapy in DLBCL patients with concomitant chronic HBV infection

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Fig. 1: Longitudinal assessment of HBV-DNA, liver function, serum immunoglobulin, B-cell recovery, and overall survival (OS) of HBsAg-positive DLBCL patients who underwent CD19-CAR-T cell therapy.

References

  1. Nath A, Agarwal R, Malhotra P, Varma S. Prevalence of hepatitis B virus infection in non-Hodgkin lymphoma: a systematic review and meta-analysis. Intern Med J. 2010;40:633–41.

    Article  CAS  Google Scholar 

  2. Ren W, Ye X, Su H, Li W, Liu D, Pirmoradian M, et al. Genetic landscape of hepatitis B virus-associated diffuse large B-cell lymphoma. Blood. 2018;131:2670–81.

    Article  CAS  Google Scholar 

  3. Wang C, Xia B, Ning Q, Zhao H, Yang H, Zhao Z, et al. High prevalence of hepatitis B virus infection in patients with aggressive B cell non-Hodgkin’s lymphoma in China. Ann Hematol. 2018;97:453–7.

    Article  Google Scholar 

  4. Dong HJ, Ni LN, Sheng GF, Song HL, Xu JZ, Ling Y. Risk of hepatitis B virus (HBV) reactivation in non-Hodgkin lymphoma patients receiving rituximab- chemotherapy: a meta-analysis. J Clin Virol. 2013;57:209–14.

    Article  CAS  Google Scholar 

  5. Locke FL, Ghobadi A, Jacobson CA, Miklos DB, Lekakis LJ, Oluwole OO, et al. Long-term safety and activity of axicabtagene ciloleucel in refractory large B-cell lymphoma (ZUMA-1): a single-arm, multicentre, phase 1-2 trial. Lancet Oncol. 2019;20:31–42.

    Article  CAS  Google Scholar 

  6. Schuster SJ, Bishop MR, Tam CS, Waller EK, Borchmann P, McGuirk JP, et al. Tisagenlecleucel in adult relapsed or refractory diffuse large B-cell lymphoma. N Engl J Med. 2019;380:45–56.

    Article  CAS  Google Scholar 

  7. Hill JA, Li D, Hay KA, Green ML, Cherian S, Chen X, et al. Infectious complications of CD19-targeted chimeric antigen receptor-modified T-cell immunotherapy. Blood. 2018;131:121–30.

    Article  CAS  Google Scholar 

  8. Strati P, Nastoupil LJ, Fayad LE, Samaniego F, Adkins S, Neelapu SS. Safety of CAR T-cell therapy in patients with B-cell lymphoma and chronic hepatitis B or C virus infection. Blood. 2019;133:2800–2.

    Article  CAS  Google Scholar 

  9. Downs LO, Smith DA, Lumley SF, Patel M, McNaughton AL, Mokaya J, et al. Electronic Health informatics data to describe clearance dynamics of hepatitis B surface antigen (HBsAg) and e antigen (HBeAg) in chronic hepatitis B virus infection. MBio. 2019;10:e00699–19.

    Article  CAS  Google Scholar 

  10. Wang B, Mufti G, Agarwal K. Reactivation of hepatitis B virus infection in patients with hematologic disorders. Haematologica. 2019;104:435–43.

    Article  CAS  Google Scholar 

  11. Tsutsumi Y, Yamamoto Y, Ito S, Ohigashi H, Shiratori S, Naruse H, et al. Hepatitis B virus reactivation with a rituximab-containing regimen. World J Hepatol. 2015;7:2344–51.

    Article  Google Scholar 

  12. Schuster SJ, Svoboda J, Chong EA, Nasta SD, Mato AR, Anak Ö, et al. Chimeric antigen receptor T cells in refractory B-cell lymphomas. N Engl J Med. 2017;377:2545–54.

    Article  CAS  Google Scholar 

  13. Lau GK, Leung YH, Fong DY, Au WY, Kwong YL, Lie A, et al. High hepatitis B virus (HBV) DNA viral load as the most important risk factor for HBV reactivation in patients positive for HBV surface antigen undergoing autologous hematopoietic cell transplantation. Blood. 2002;99:2324–30.

    Article  CAS  Google Scholar 

  14. Brudno JN, Kochenderfer JN. Toxicities of chimeric antigen receptor T cells: recognition and management. Blood. 2016;127:3321–30.

    Article  CAS  Google Scholar 

  15. Al-Mansour MM, Alghamdi SA, Alsubaie MA, Alesa AA, Khan MA. Negative effect of hepatitis in overall and progression-free survival among patients with diffuse large B-cell lymphoma. Infect Agent Cancer. 2018;13:18.

    Article  Google Scholar 

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Acknowledgements

This study was supported by funds from the National Natural Science Foundation of China (No. 81830006, 81830004, 81670178), Science Technology Department of Zhejiang Province (No. 2018C03016-1), and the Natural Science Foundation of Zhejiang Province (No. LY20H080006, LY18H16008).

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Conception, design, and manuscript writing: WQ, AL, and KHY. Collection, analysis, and interpretation: CY, MX, KZ, and HL. All authors were involved at each stage of manuscript preparation and approved the final version.

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Correspondence to Aibin Liang, Ken H. Young or Wenbin Qian.

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Yang, C., Xie, M., Zhang, K. et al. Risk of HBV reactivation post CD19-CAR-T cell therapy in DLBCL patients with concomitant chronic HBV infection. Leukemia 34, 3055–3059 (2020). https://doi.org/10.1038/s41375-020-0913-y

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