Table 4: Recommended cytokines to measure in cell therapy trials.
Cytokines are listed with associated roles in immune effector-related toxicities.
Cytokine | Toxicities | Roles |
---|---|---|
CSF-1 | Regulates monocyte/macrophage differentiation [99] | |
GM-CSF | CRS, HLH and neurotoxicity | Drives CRS and neuroinflammation [63] |
IFNα | MSC production [100] and cytokine delivery, induces expression of tumor suppressor proteins [101] | |
IFNγ * | CRS and HLH | Contributes to immunotherapy, tumor suppression and the efficacy of immune checkpoint blockade [102] |
IL-1 * | CRS | Innate immunity [103] |
IL-2 * | CRS, HLH and neurotoxicity | Promotes expansion of T and NK cells |
IL-4 | Promotes B cell proliferation; mediates inflammation [104] | |
IL-5 | Promotes B cell proliferation [105] | |
IL-6 * | CRS and HLH | Associated with CRS onset and severity |
IL-8 | CRS | May be predictive of resistance to ICIs [106] |
IL-10 | CRS | |
IL-12 | Activation and regulation of macrophages, T and NK cells [107] | |
IL-13 | Promotes B cell proliferation; mediates inflammation [104] | |
IL-15 * | CRS | Induces proliferation of CD8 memory and NK cells, cytotoxicity, and release of other cytokines (e.g. IFNγ) [108] |
IL-17 | Pro-inflammatory cytokine [109] | |
IL-21 | Activates STAT3 signaling in T cell and B cell differentiation [110] | |
TGFβ | Promotes cancer progression [111] | |
TNFα * | CRS and HLH | Mediates inflammation, anti-tumor responses and infection [112] |
Indicates cytokine should be included in a basic minimum panel.