Nature Communications (Jul 2016)

CD19 CAR immune pressure induces B-precursor acute lymphoblastic leukaemia lineage switch exposing inherent leukaemic plasticity

  • Elad Jacoby,
  • Sang M. Nguyen,
  • Thomas J. Fountaine,
  • Kathryn Welp,
  • Berkley Gryder,
  • Haiying Qin,
  • Yinmeng Yang,
  • Christopher D. Chien,
  • Alix E. Seif,
  • Haiyan Lei,
  • Young K. Song,
  • Javed Khan,
  • Daniel W. Lee,
  • Crystal L. Mackall,
  • Rebecca A. Gardner,
  • Michael C. Jensen,
  • Jack F. Shern,
  • Terry J. Fry

DOI
https://doi.org/10.1038/ncomms12320
Journal volume & issue
Vol. 7, no. 1
pp. 1 – 10

Abstract

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CAR-T targeting CD19 have been successfully used in a variety of B-cell malignancies but patients may eventually relapse. Here, the authors show that CD19 CAR-T resistance in pre-B cell ALL can be due to the induction of a myeloid lineage switch through an epigenetic alterations in master regulators of B cell development.