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Table 1 Biomarkers for CRS predication

From: Macrophage, the potential key mediator in CAR-T related CRS

Biomarkers

Grade 0–3

Grade ≥ 4

Inflammatory factor

 CRP

↑

↑↑

 Ferritin

↑

↑↑

Cytokine profile

 IFN-γa,b

↑

↑↑

 IL-6a,b

↑

↑↑

 IL-8a,b

↑

↑↑

 IL-10a

↑

↑↑

 IL-15a

↑

↑↑

 sIL2Rαb

↑

↑↑

 sIL6Rb

↑

↑↑

 MCP-1a,b

↑

↑↑

 MIP-1αb

↑

↑↑

 MIP-1βa,b

↑

↑↑

 GM-CSFb

↑

↑↑

 TNFRp55a

↑

↑↑

 sgp130b

↑

↑↑

Blood biochemistry

 ALT

↑

↑↑

 AST

↑

↑↑

 BUN

↑

↑↑

 LDH

↑

↑↑

 Cr

↑

↑↑

 Coagulation

 Fibrinogen (Pediatric)

–

↓

 Fibrinogen (Adult)

↓

↓

 PT (Pediatric)

–

↑

 PT (Adult)

↑

↑

 APTT (Pediatric)

–

↑

 APTT (Adult)

–

–

  1. aCytokines that helpful in CRS prediction can be assessed within 36 h post CAR T cells infusion
  2. bPeak level of cytokines in the first month after CAR T cells infusion that are associated with more severe CRS