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. 2023 Jul 27;29(8):2099–2109. doi: 10.1038/s41591-023-02452-y

Extended Data Fig. 5. Response in a patient with malignant pleural mesothelioma.

Extended Data Fig. 5

a, Systemic inflammation following gavo-cel treatment. a, Increase in serum lactate dehydrogenase (LDH) after infusion of gavo-cel that peaked at day 9. It gradually decreased to reach normal range by day 142 (normal range: 125–220 U/mL). b, Mesothelin expression in tumor biopsy after progression. Tumor biopsy obtained after progression on day +365 shows mesothelin expression. Experiment performed once on patient samples. Inset scale bars represents 100 µM. c, Persistence of gavo-cel in peripheral blood post-infusion by flow cytometry. Flow cytometry analysis of PBMCs isolated from peripheral blood and stained with anti-VHH antibody showed 50.7% cells being TRuC+ on day 10. On day 28 this was reduced to 13.3%, whereas on day 56, 0.5% cells were detected as TRuC+. d, Phenotypic analysis of gavo-cel product. Flow-cytometric analysis of the different T cell subsets in the manufactured gavo-cel product that was infused into the patient. Phenotyping revealed a predominance of stem cell memory (TSCM) and naïve T (TN) cells, with the majority of the remaining T cells having a central memory T cell (TCM) phenotype. The proportion of TSCM and TN was similar in the CD4+ and CD8 + T cell subsets. TEM, T effector memory cell; TEMRA, effector memory T cells re-expressing CD45RA.

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