Table 1

Immune-mediated toxicities associated with adoptive immunotherapy of cancer

Cell typeSpeciesTarget antigenTumorToxicitiesReference(s)
CTL Mouse (or rat) Pnma-1 Paraneoplastic syndrome (rat) CNS inflammation 80  
CTL Recoverin Fibrosarcoma Retinal dysfunction 81  
CTL with IL-2 and vaccine Various Melanoma Melanocyte destruction, ocular toxicity 8,82  
CD4+ T cells TRP-1 Melanoma Vitiligo 83,84  
Immune T cells CEA Colon Colitis 85  
Transgenic T cells Telomerase Prostate Reduction in B cells 86  
TCR transgenic T cells Various None Pancreatitis, colitis 11  
CAR-modified T cells CD19 Lymphoma Depletion of normal B cells 87,88  
CAR-modified T cells VEGF-R2 Various Various organs, probably the result of cytokine-induced hypotension 89  
TIL and IL-2 Human Various Melanoma Autoimmune thyroiditis, systemic and ocular autoimmunity 90,–92  
TIL with lymphodepletion and IL-2 Various Melanoma Vitiligo, uveitis 9,93  
CTL MART-1 Melanoma Melanocyte destruction 94  
TCR gene–modified T cells MART-1, gp100 Melanoma Melanocyte destruction 10  
CAR-modified T cells CAIX RCC Liver toxicity (grade 2-4) in 3 of 7 patients; lower grade in 4 of 7 patients with reduced dosing 14  
CAR-modified T cells CD19 Lymphoma B-cell depletion 15  
CAR-modified T cells Her-2 Colorectal cancer Lung toxicity 17  
CAR-modified T cells CEA Colorectal cancer Colitis 19  
Cell typeSpeciesTarget antigenTumorToxicitiesReference(s)
CTL Mouse (or rat) Pnma-1 Paraneoplastic syndrome (rat) CNS inflammation 80  
CTL Recoverin Fibrosarcoma Retinal dysfunction 81  
CTL with IL-2 and vaccine Various Melanoma Melanocyte destruction, ocular toxicity 8,82  
CD4+ T cells TRP-1 Melanoma Vitiligo 83,84  
Immune T cells CEA Colon Colitis 85  
Transgenic T cells Telomerase Prostate Reduction in B cells 86  
TCR transgenic T cells Various None Pancreatitis, colitis 11  
CAR-modified T cells CD19 Lymphoma Depletion of normal B cells 87,88  
CAR-modified T cells VEGF-R2 Various Various organs, probably the result of cytokine-induced hypotension 89  
TIL and IL-2 Human Various Melanoma Autoimmune thyroiditis, systemic and ocular autoimmunity 90,–92  
TIL with lymphodepletion and IL-2 Various Melanoma Vitiligo, uveitis 9,93  
CTL MART-1 Melanoma Melanocyte destruction 94  
TCR gene–modified T cells MART-1, gp100 Melanoma Melanocyte destruction 10  
CAR-modified T cells CAIX RCC Liver toxicity (grade 2-4) in 3 of 7 patients; lower grade in 4 of 7 patients with reduced dosing 14  
CAR-modified T cells CD19 Lymphoma B-cell depletion 15  
CAR-modified T cells Her-2 Colorectal cancer Lung toxicity 17  
CAR-modified T cells CEA Colorectal cancer Colitis 19  

CTL indicates cytotoxic T lymphocyte; CNS, central nervous system; IL-2, interleukin-2; and TIL, tumor-infiltrating lymphocytes.

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