Torque Teno Virus Plasma DNA Load: A Novel Prognostic Biomarker in CAR-T Therapy

Torque Teno Virus (TTV) is a single-stranded circular DNA virus which has been identified as a surrogate marker of immune competence in transplantation. In this study we investigated the dynamics of plasma TTV DNAemia in 79 adult patients undergoing chimeric antigen receptor T-cell (CAR-T) therapy for relapsed or refractory large B-cell lymphoma, also evaluating the impact of TTV on immunotoxicities, response and survival outcomes. After lymphodepleting therapy, TTV DNA load decreases slightly until reaching nadir around day 10, after which it increased steadily until reaching maximum load around day 90. TTV DNA load