Publications by authors named "J Purushe"

Chimeric antigen receptor-modified T cell (CAR-T) immunotherapy has revolutionised blood cancer treatment. Parsing the genetic underpinnings of T cell quality and CAR-T efficacy is challenging. Transcriptomics inform CAR-T state, but the nature of dynamic transcription during activation hinders identification of transiently or minimally expressed genes, such as transcription factors, and over-emphasises effector and metabolism genes.

View Article and Find Full Text PDF
Article Synopsis
  • A pilot study evaluated the concurrent use of ibrutinib with CD19 CAR T-cell therapy in 19 patients with relapsed or refractory chronic lymphocytic leukemia (CLL) after failing ibrutinib treatment.
  • The combination therapy was safe and well tolerated, with 68% of patients receiving planned ibrutinib doses and an impressive overall response rate of 83%.
  • Patients demonstrated a high rate of minimal residual disease (MRD)-negative responses, and the treatment was associated with reduced severity of cytokine release syndrome (CRS) compared to CAR T-cell therapy alone.
View Article and Find Full Text PDF

Memory T cells sustain effector T-cell production while self-renewing in reaction to persistent antigen; yet, excessive expansion reduces memory potential and impairs antitumor immunity. Epigenetic mechanisms are thought to be important for balancing effector and memory differentiation; however, the epigenetic regulator(s) underpinning this process remains unknown. Herein, we show that the histone methyltransferase Ezh2 controls CD8 T memory precursor formation and antitumor activity.

View Article and Find Full Text PDF

Alloreactive T cells play a critical role in eliminating hematopoietic malignant cells but are also the mediators of graft-versus-host disease (GVHD), a major complication that subverts the success of allogeneic hematopoietic stem cell transplantation (HSCT). However, induction of alloreactive T cells does not necessarily lead to GVHD. Here we report the development of a cellular programming approach to render alloreactive T cells incapable of causing severe GVHD in both major histocompatibility complex (MHC)-mismatched and MHC-identical but minor histocompatibility antigen-mismatched mouse models.

View Article and Find Full Text PDF