Investigation of product derived lymphoma
- Lieven
- 0
Investigation of product derived lymphoma following infusion of piggyBac modified CD19 chimeric antigen receptor T-cells
We carried out a Section I scientific trial of donor derived CD19-specific chimeric antigen receptor T-cells (CAR T-cells) for B-cell malignancy that relapsed or persevered after matched associated allogeneic hemopoietic stem cell transplant. To beat the fee and transgene capability limitations of conventional viral vectors, CAR T-cells have been produced utilizing the piggyBac transposon system of genetic modification. Following CAR T-cell infusion, one affected person developed a step by step enlarging retroperitoneal tumor as a result of a CAR expressing CD4+ T-cell lymphoma. Screening of different sufferers led to the detection of a second CAR T-cell tumor in thoracic para-aortic lymph nodes in an asymptomatic affected person.
Evaluation of the primary lymphoma confirmed a excessive transgene copy quantity, however no insertion into typical oncogenes. There have been additionally structural modifications resembling altered genomic copy quantity and level mutations unrelated to the insertion websites. Transcriptome evaluation confirmed transgene promoter pushed upregulation of transcription of surrounding areas regardless of insulator sequences surrounding the transgene. Nevertheless, marked world modifications in transcription predominantly correlated with gene copy quantity moderately than insertion websites.
In each sufferers, the CAR T-cell derived lymphoma progressed and one affected person died. We describe the primary two instances of malignant lymphoma derived from CAR gene modified T-cells. Though CAR T-cells have an enviable document of security so far, our outcomes emphasize the necessity for warning and common comply with up of CAR T recipients, particularly when novel strategies of gene switch are used to create genetically modified immune therapies.
OCOA13214-20UG - EBAG9 Protein Lysate |
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OCOA13214-20UG | Aviva Systems Biology | 20ug | EUR 169 |
OCOA04155-20UG - EBAG9 Protein Lysate |
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OCOA04155-20UG | Aviva Systems Biology | 20ug | EUR 169 |
Human Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) |
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1-CSB-EP007355HU | Cusabio |
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Description: Recombinant Human Receptor-binding cancer antigen expressed on SiSo cells(EBAG9),partial expressed in E.coli |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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20-abx112338 | Abbexa |
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Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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20-abx123391 | Abbexa |
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Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx031290-400ul | Abbexa | 400 ul | EUR 627.6 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx031290-80l | Abbexa | 80 µl | EUR 343.2 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx037482-100ug | Abbexa | 100 ug | EUR 469.2 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx037831-100ug | Abbexa | 100 ug | EUR 469.2 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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20-abx001581 | Abbexa |
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Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx430429-200ul | Abbexa | 200 ul | EUR 460.8 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx112338-100l | Abbexa | 100 µl | EUR 612.5 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx037482-96tests | Abbexa | 96 tests | EUR 337.5 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx037831-96tests | Abbexa | 96 tests | EUR 337.5 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx031290-400l | Abbexa | 400 µl | EUR 518.75 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx237203-100g | Abbexa | 100 µg | EUR 350 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx237204-100g | Abbexa | 100 µg | EUR 350 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx430429-200l | Abbexa | 200 µl | EUR 387.5 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx001581-100l | Abbexa | 100 µl | EUR 400 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx001581-20l | Abbexa | 20 µl | EUR 175 |
Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) Antibody |
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abx001581-50l | Abbexa | 50 µl | EUR 275 |
Dog Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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abx512994-96tests | Abbexa | 96 tests | EUR 1093.2 |
Rat Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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abx512997-96tests | Abbexa | 96 tests | EUR 801.6 |
Dog EBAG9 / Receptor-binding cancer antigen expressed on SiSo cells ELISA Kit |
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E0449d | EIAab | 96T | EUR 900 |
Rat Ebag9 / Receptor-binding cancer antigen expressed on SiSo cells ELISA Kit |
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E0449r | EIAab | 96T | EUR 796 |
Rat Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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RK06836 | Abclonal | 96T | EUR 280 |
Dog Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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abx512994-1096tests | Abbexa | 10 × 96 tests | Ask for price |
Dog Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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abx512994-596tests | Abbexa | 5 × 96 tests | Ask for price |
Pig Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9310798-10x96StripWells | MyBiosource | 10x96-Strip-Wells | EUR 6725 |
Pig Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9310798-48StripWells | MyBiosource | 48-Strip-Wells | EUR 550 |
Pig Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9310798-5x96StripWells | MyBiosource | 5x96-Strip-Wells | EUR 3420 |
Pig Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9310798-96StripWells | MyBiosource | 96-Strip-Wells | EUR 765 |
Rat Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9329289-10x96StripWells | MyBiosource | 10x96-Strip-Wells | EUR 6725 |
Rat Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9329289-48StripWells | MyBiosource | 48-Strip-Wells | EUR 550 |
Rat Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9329289-5x96StripWells | MyBiosource | 5x96-Strip-Wells | EUR 3420 |
Rat Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9329289-96StripWells | MyBiosource | 96-Strip-Wells | EUR 765 |
Dog Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9323204-10x96StripWells | MyBiosource | 10x96-Strip-Wells | EUR 6725 |
Dog Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9323204-48StripWells | MyBiosource | 48-Strip-Wells | EUR 550 |
Dog Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9323204-5x96StripWells | MyBiosource | 5x96-Strip-Wells | EUR 3420 |
Dog Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9323204-96StripWells | MyBiosource | 96-Strip-Wells | EUR 765 |
Human Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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abx512995-96tests | Abbexa | 96 tests | EUR 801.6 |
Mouse Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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abx512996-96tests | Abbexa | 96 tests | EUR 801.6 |
Human EBAG9/ Receptor-binding cancer antigen expressed on SiSo cells ELISA Kit |
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E0748Hu | Sunlong | 1 Kit | EUR 515 |
Description: RCAS1,Cancer-associated surface antigen RCAS1,Estrogen receptor-binding fragment-associated gene 9 protein |
Human EBAG9 / Receptor-binding cancer antigen expressed on SiSo cells ELISA Kit |
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E0449h | EIAab | 96T | EUR 736 |
Mouse Ebag9 / Receptor-binding cancer antigen expressed on SiSo cells ELISA Kit |
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E0449m | EIAab | 96T | EUR 776 |
Human Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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RK06834 | Abclonal | 96T | EUR 280 |
Mouse Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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RK06835 | Abclonal | 96T | EUR 280 |
Human Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) ELISA Kit |
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abx259811-1mg | Abbexa | 1 mg | Ask for price |
Human Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) ELISA Kit |
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abx259811-20g | Abbexa | 20 µg | Ask for price |
Human Receptor-Binding Cancer Antigen Expressed On SiSo Cells (EBAG9) ELISA Kit |
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abx259811-5g | Abbexa | 5 µg | EUR 687.5 |
Mouse Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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abx512996-1096tests | Abbexa | 10 × 96 tests | Ask for price |
Mouse Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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abx512996-596tests | Abbexa | 5 × 96 tests | Ask for price |
Mouse Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9322031-10x96StripWells | MyBiosource | 10x96-Strip-Wells | EUR 6725 |
Mouse Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9322031-48StripWells | MyBiosource | 48-Strip-Wells | EUR 550 |
Mouse Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9322031-5x96StripWells | MyBiosource | 5x96-Strip-Wells | EUR 3420 |
Mouse Receptor-binding cancer antigen expressed on SiSo cells, EBAG9 ELISA Kit |
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MBS9322031-96StripWells | MyBiosource | 96-Strip-Wells | EUR 765 |
Human Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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MBS280229-10x96StripWells | MyBiosource | 10x96-Strip-Wells | EUR 6840 |
Human Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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MBS280229-48StripWells | MyBiosource | 48-Strip-Wells | EUR 480 |
Human Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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MBS280229-5x96StripWells | MyBiosource | 5x96-Strip-Wells | EUR 3610 |
Human Receptor-binding cancer antigen expressed on SiSo cells (EBAG9) ELISA Kit |
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MBS280229-96StripWells | MyBiosource | 96-Strip-Wells | EUR 805 |
Recombinant Dog Receptor-binding cancer antigen expressed on SiSo cells (EBAG9), partial |
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MBS1349708-005mgBaculovirus | MyBiosource | 0.05mg(Baculovirus) | EUR 1115 |
Recombinant Dog Receptor-binding cancer antigen expressed on SiSo cells (EBAG9), partial |
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MBS1349708-005mgMammalianCell | MyBiosource | 0.05mg(Mammalian-Cell) | EUR 1335 |
Recombinant Dog Receptor-binding cancer antigen expressed on SiSo cells (EBAG9), partial |
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MBS1349708-05mgEColi | MyBiosource | 0.5mg(E-Coli) | EUR 1115 |
Recombinant Dog Receptor-binding cancer antigen expressed on SiSo cells (EBAG9), partial |
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MBS1349708-05mgYeast | MyBiosource | 0.5mg(Yeast) | EUR 1335 |
Recombinant Dog Receptor-binding cancer antigen expressed on SiSo cells (EBAG9), partial |
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MBS1349708-1mgEColi | MyBiosource | 1mg(E-Coli) | EUR 1635 |
Recombinant Rat Receptor-binding cancer antigen expressed on SiSo cells (Ebag9), partial |
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MBS1430359-005mgBaculovirus | MyBiosource | 0.05mg(Baculovirus) | EUR 1115 |
Recombinant Rat Receptor-binding cancer antigen expressed on SiSo cells (Ebag9), partial |
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MBS1430359-005mgMammalianCell | MyBiosource | 0.05mg(Mammalian-Cell) | EUR 1335 |
Recombinant Rat Receptor-binding cancer antigen expressed on SiSo cells (Ebag9), partial |
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MBS1430359-05mgEColi | MyBiosource | 0.5mg(E-Coli) | EUR 1115 |
Recombinant Rat Receptor-binding cancer antigen expressed on SiSo cells (Ebag9), partial |
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MBS1430359-05mgYeast | MyBiosource | 0.5mg(Yeast) | EUR 1335 |
Recombinant Rat Receptor-binding cancer antigen expressed on SiSo cells (Ebag9), partial |
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MBS1430359-1mgEColi | MyBiosource | 1mg(E-Coli) | EUR 1635 |
Recombinant Human Receptor-binding cancer antigen expressed on SiSo cells(EBAG9),partial |
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AP70252 | SAB | 1mg | EUR 1978 |
Recombinant Human Receptor-binding cancer antigen expressed on SiSo cells (EBAG9), partial |
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CSB-EP007355HU | Cusabio | 1056 mg | Ask for price |
Recombinant Mouse Receptor-binding cancer antigen expressed on SiSo cells (Ebag9), partial |
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MBS1320693-005mgBaculovirus | MyBiosource | 0.05mg(Baculovirus) | EUR 1115 |
Recombinant Mouse Receptor-binding cancer antigen expressed on SiSo cells (Ebag9), partial |
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MBS1320693-005mgMammalianCell | MyBiosource | 0.05mg(Mammalian-Cell) | EUR 1335 |
Recombinant Mouse Receptor-binding cancer antigen expressed on SiSo cells (Ebag9), partial |
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MBS1320693-05mgEColi | MyBiosource | 0.5mg(E-Coli) | EUR 1115 |
Recombinant Mouse Receptor-binding cancer antigen expressed on SiSo cells (Ebag9), partial |
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MBS1320693-05mgYeast | MyBiosource | 0.5mg(Yeast) | EUR 1335 |
Recombinant Mouse Receptor-binding cancer antigen expressed on SiSo cells (Ebag9), partial |
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MBS1320693-1mgEColi | MyBiosource | 1mg(E-Coli) | EUR 1635 |
Protein expression |
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CRO-4-Ind | Jotbody | each | Ask for price |
EP Reagent Biuret Reagent - 100ML |
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1011601 | Scientific Laboratory Supplies | 1L | EUR 59.4 |
RFP expression Adenovirus, in vivo ready |
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AVP001-PBS | GenTarget | 1x1011 IFU/ml x 50ul | EUR 852 |
Description: pre-made RFP expression adenovirus, provided in PBS solution. |
CFP expression Adenovirus, in vivo ready |
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AVP002-PBS | GenTarget | 1x1011 IFU/ml x 50ul | EUR 852 |
Description: pre-made CFP expression adenovirus, provided in PBS solution. |
GFP expression Adenovirus, in vivo ready |
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AVP011-PBS | GenTarget | 1x1011 IFU/ml x 50ul | EUR 852 |
Description: pre-made GFP expression adenovirus, provided in PBS solution. |
YFP expression Adenovirus, in vivo ready |
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AVP012-PBS | GenTarget | 1x1011 IFU/ml x 50ul | EUR 852 |
Description: pre-made YFP expression adenovirus, provided in PBS solution. |
BFP expression Adenovirus, in vivo ready |
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AVP017-PBS | GenTarget | 1x1011 IFU/ml x 50ul | EUR 852 |
Description: pre-made BFP expression adenovirus, provided in PBS solution. |
YLEX Expression Kit |
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FYY201-1KT | Yeastern Biotech | 1 kit | Ask for price |
PEROXIDE BLOCKING REAGENT Reagent |
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GWB-Q00308 | GenWay Biotech | 50 ml | Ask for price |
EP Reagent Iodoplatinate Reagent - 200ML |
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1046300 | Scientific Laboratory Supplies | 200ML | EUR 502.2 |
EP Reagent Molybdovanadic Reagent - 100ML |
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1056700 | Scientific Laboratory Supplies | 100ML | EUR 59.4 |
293 Expression MAX-1 |
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EXP-711-11 | ACROBIOSYSTEMS | 1ml | EUR 214 |
Description: 293 Expression MAX-1 is expressed from - -. |
h OCT4 expression Adenovirus, in vivo ready |
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AVP013-PBS | GenTarget | 1x1011 IFU/ml x 50ul | EUR 852 |
Description: pre-made adenovirus express human stem cell factor, OCT4, provided in PBS solution for in vivo application. |
h SOX2 expression Adenovirus, in vivo ready |
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AVP014-PBS | GenTarget | 1x1011 IFU/ml x 50ul | EUR 852 |
Description: pre-made adenovirus express human stem cell factor, SOX2, provided in PBS solution for in vivo application. |
CNGA2 Expression vector |
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60642 | BPS Bioscience | 20 µg | EUR 900 |
Description: The CNGA2 expression vector is designed to express human cyclic nucleotide-gated cation channel 2 (CNGA2) in mammalian cells. |
CNGA2 Expression vector |
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GWB-PSFA61 | GenWay Biotech | 20ug | Ask for price |
h LIN28 expression Adenovirus, in vivo ready |
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AVP015-PBS | GenTarget | 1x1011 IFU/ml x 50ul | EUR 852 |
Description: pre-made adenovirus express human stem cell factor, LIN28, provided in PBS solution for in vivo application. |
EP Reagent Methoxyphenylacetic Reagent - 100ML |
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1053601 | Scientific Laboratory Supplies | 100ML | EUR 490.05 |
LEXSYcon2.1 Expression Kit |
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EGE-1310ble | Jena Bioscience GmbH | 1Kit | EUR 1296.1 |
Description: for constitutive cytosolic or secretory protein expression |
LEXSYcon2.1 Expression Kit |
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EGE-1310bsd | Jena Bioscience GmbH | 1Kit | EUR 1296.1 |
Description: for constitutive cytosolic or secretory protein expression |
LEXSYcon2.1 Expression Kit |
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EGE-1310hyg | Jena Bioscience GmbH | 1Kit | EUR 1296.1 |
Description: for constitutive cytosolic or secretory protein expression |
LEXSYcon2.1 Expression Kit |
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EGE-1310neo | Jena Bioscience GmbH | 1Kit | EUR 1296.1 |
Description: for constitutive cytosolic or secretory protein expression |
LEXSYcon2.1 Expression Kit |
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EGE-1310pac | Jena Bioscience GmbH | 1Kit | EUR 1296.1 |
Description: for constitutive cytosolic or secretory protein expression |
LEXSYcon2.1 Expression Kit |
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EGE-1310sat | Jena Bioscience GmbH | 1Kit | EUR 1296.1 |
Description: for constitutive cytosolic or secretory protein expression |
pYLEX1 - Expression Vector |
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FYY203-5MG | Yeastern Biotech | 5mg | Ask for price |
EP Reagent Phosphomolybdotungstic Reagent - 100ML |
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1065000 | Scientific Laboratory Supplies | 100ML | EUR 226.8 |
Blunt E1 Expression Kit |
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abx098098-10rxns | Abbexa | 10 rxns | EUR 560.4 |
Blunt E2 Expression Kit |
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abx098873-10rxns | Abbexa | 10 rxns | EUR 560.4 |
Blunt E1 Expression Kit |
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abx098098-100l | Abbexa | 100 µl | EUR 712.5 |
Blunt E1 Expression Kit |
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abx098098-1ml | Abbexa | 1 ml | Ask for price |
Blunt E1 Expression Kit |
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abx098098-200l | Abbexa | 200 µl | Ask for price |
Blunt E2 Expression Kit |
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abx098873-100l | Abbexa | 100 µl | EUR 712.5 |
Blunt E2 Expression Kit |
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abx098873-1ml | Abbexa | 1 ml | Ask for price |
Reminiscence stem T cells modified with a redesigned CD30-chimeric antigen receptor present an enhanced antitumor impact in Hodgkin lymphoma
Goals: Adoptive cell remedy (ACT) with mature T cells modified with a chimeric antigen receptor has demonstrated improved end result for B-cell malignancies. Nevertheless, its software for others resembling Hodgkin lymphoma stays a scientific problem. CD30 antigen, expressed in Hodgkin lymphoma cells, is absent in most wholesome tissues, representing a really perfect goal of ACT for this illness. Regardless of that, efficacy of CD30-chimeric antigen receptor (CAR) T cells for Hodgkin lymphoma stays modest. Right here, we now have developed and examined a novel CD30-CAR T to enhance efficacy of CD30-CAR remedy, utilizing a concentrating on epitope throughout the non-cleavable a part of CD30 receptor, and reminiscence stem T cells (TSCM) to enhance engraftment, persistence and antitumor exercise.
Strategies: TSCM-like cultures have been generated and expanded ex vivo and transduced at day 1 or 2 with a lentiviral vector encoding the CD30-CAR. Therapeutic in vivo experiments have been carried out utilizing NSG mice injected with L540 (sc) or L428 (iv) and handled with CD30-CAR T cells when the tumor was established.
Outcomes: CD30-CAR TSCM-like cells generated and expanded ex vivo, regardless of CD30 expression and fratricide killing of CD30+ CAR T cells, weren’t impaired by soluble CD30 and utterly eradicated Hodgkin lymphoma in vivo, exhibiting excessive persistence and long-lasting immunity. As well as, extremely enriched CD30-CAR TSCM-like merchandise confer a survival benefit in vivo, in distinction to extra differentiated CAR T cells, with greater tumor infiltration and enhanced antitumor impact.
Conclusion: This examine helps using a refined CD30-CAR T cells with extremely enriched TSCM-like merchandise to enhance scientific efficacy of CAR T for Hodgkin lymphoma.
Chimeric antigen receptor T cells concentrating on CD7 in a toddler with high-risk T-cell acute lymphoblastic leukemia
Efficient systemic therapies for relapsed or refractory T-cell acute lymphoblastic leukemia (T-ALL) are restricted. Current scientific software of chimeric antigen receptor (CAR) immunotherapy has demonstrated profitable management of B-cell malignancies by CAR-T cells; nevertheless, designing CARs for T-ALL stays a problem. CD7 overexpression in T-cell malignancies could also be a horny goal for immunotherapy in T-ALL. This examine aimed to explain the secure and efficient use of autologous CD7-CAR T cells (4SCAR7) for the therapy of T-ALL with induction failure in an 11-year-old affected person. Primarily based on The Chinese language Kids’s Most cancers Group-ALL (CCCG-ALL) examine protocol, minimal residual illness (MRD) by circulation cytometry (FC) evaluation was detected on days 19 and 46 of remission induction.
On the finish of remission-induction chemotherapy, the affected person achieved morphologic full remission, although with MRD 16.13% and RT-PCR of KMT2A-MLLT1 fusion constructive, which indicated induction failure. The cerebrospinal fluid (CSF) was destructive for blasts at identified. CAR-T remedy and allogeneic transplant have been really helpful as the subsequent therapy choices. CD3+ lymphocytes have been collected from the affected person 18 days after the high-dose MTX chemotherapy by way of leukapheresis. The 4SCAR7 CD7-targeting CAR-T cells have been generated thereafter.
The affected person acquired lymphodepleting chemotherapy previous to 4SCAR7 infusion. Oral administration of itraconazole and sulfamethoxazole was carried out from day zero after CAR-T cell infusion. The affected person didn’t have hypotension, hypoxia, or severe biochemical change or abnormality, however had fever on day 9. Though grade 1 cytokine-release syndrome (CRS) was identified, it was efficiently handled with ibuprofen. Anti-CD7 CAR transgene copy numbers in peripheral blood have been decided by qPCR, which confirmed efficient enlargement initially, then dropped rapidly, and persevered at a low stage. Though skilled cytopenia from days 14 to 21, the affected person achieved remission on day 17. After full remission, the affected person acquired hematopoietic stem cell transplantation (HSCT) and has recovered nicely to thisdate. Total, this report instructed that 4SCAR7 could possibly be a secure and efficient technique for the therapy of pediatric sufferers with high-risk T-cell malignancies.
Affected person-Reported Outcomes for Most cancers Sufferers with Hematological Malignancies Present process Chimeric Antigen Receptor T Cell Remedy: A Systematic Evaluate
Databases have been searched to determine research printed over the previous 10 years that addressed the utility of patient-reported outcomes (PROs) in sufferers receiving chimeric antigen receptor (CAR) T cell remedy in sufferers with hematological malignancies. Amongst 280 information, three articles overlaying 206 sufferers have been eligible. The information have been prospectively collected at a number of time factors. The compliance charges have been 70% to 94%. There was an inverse relationship between fatigue and social operate amongst adults. The standard of life (QoL) enchancment and talent to finish PROs have been linked to illness standing. About 40% of adults reported not less than some cognitive difficulties, with a detrimental influence on psychological and bodily well being standing. In adults, probably the most generally reported cognitive impairment was reminiscence difficulties.
Melancholy was related to cognitive difficulties. Youthful adults have been at greater threat of long-term poor psychological well being, anxiousness, and melancholy. For pediatric and adolescent sufferers, emotional dysfunction improves over time. QoL standing improved over time; but, extreme cytokine launch syndrome and neurotoxicity brought on delayed enchancment. Data relating to whether or not the PROs have been built-in into medical information and scientific tips is missing. Using PROs in sufferers on CAR T cell remedy appears possible and informative. Research using bigger pattern sizes and utilizing validated PRO instruments at totally different time factors stay unmet wants.