CAR T-cells meet autoimmune neurological diseases: a new dawn for therapy

Autoimmunity and autoimmune diseases arise when the immune system erroneously targets self-antigens leading to tissue damage. Consequently, immunomodulatory and mainly immunosuppressive drugs comprise the conventional treatment in conditions such as systemic lupus erythematosus, rheumatoid arthritis...

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Main Authors: Nikolaos A. Chinas, Harry Alexopoulos
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1604174/full
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author Nikolaos A. Chinas
Harry Alexopoulos
author_facet Nikolaos A. Chinas
Harry Alexopoulos
author_sort Nikolaos A. Chinas
collection DOAJ
description Autoimmunity and autoimmune diseases arise when the immune system erroneously targets self-antigens leading to tissue damage. Consequently, immunomodulatory and mainly immunosuppressive drugs comprise the conventional treatment in conditions such as systemic lupus erythematosus, rheumatoid arthritis and multiple sclerosis. However, many of these agents often fall short of providing a cure and have a limit on symptom management. This underscores the urgent need for even more advanced therapies for patients to constrain progressive disability. Therefore, currently, researchers explore the potential of chimeric antigen receptor (CAR) T-cell therapy for autoimmune diseases considering its success in cancer treatment and specifically in hematological malignancies. This review will examine recent advancements in CAR T-cell therapy for autoimmune disorders, highlighting how CAR T cells can be engineered to precisely target and eliminate autoreactive immune cells that drive these debilitating diseases, particularly those affecting the nervous system such as Multiple sclerosis, Myasthenia gravis, Neuromyelitis optica, Stiff-person syndrome, Autoimmune encephalitis, MOG-antibody disease and Chronic inflammatory demyelinating polyneuropathy. Also, through an analysis of preclinical and clinical data, we will assess the efficacy, safety, potential side effects and limitations of these innovative therapies. Lastly, we will underline the transformative potential of CAR T-cells in Autoimmune Neurology, offering a promising new hope for treatment where conventional therapies have failed.
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spelling doaj-art-3c557511ed1f45db855ece7d7ce691012025-08-20T03:28:04ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-07-011610.3389/fimmu.2025.16041741604174CAR T-cells meet autoimmune neurological diseases: a new dawn for therapyNikolaos A. ChinasHarry AlexopoulosAutoimmunity and autoimmune diseases arise when the immune system erroneously targets self-antigens leading to tissue damage. Consequently, immunomodulatory and mainly immunosuppressive drugs comprise the conventional treatment in conditions such as systemic lupus erythematosus, rheumatoid arthritis and multiple sclerosis. However, many of these agents often fall short of providing a cure and have a limit on symptom management. This underscores the urgent need for even more advanced therapies for patients to constrain progressive disability. Therefore, currently, researchers explore the potential of chimeric antigen receptor (CAR) T-cell therapy for autoimmune diseases considering its success in cancer treatment and specifically in hematological malignancies. This review will examine recent advancements in CAR T-cell therapy for autoimmune disorders, highlighting how CAR T cells can be engineered to precisely target and eliminate autoreactive immune cells that drive these debilitating diseases, particularly those affecting the nervous system such as Multiple sclerosis, Myasthenia gravis, Neuromyelitis optica, Stiff-person syndrome, Autoimmune encephalitis, MOG-antibody disease and Chronic inflammatory demyelinating polyneuropathy. Also, through an analysis of preclinical and clinical data, we will assess the efficacy, safety, potential side effects and limitations of these innovative therapies. Lastly, we will underline the transformative potential of CAR T-cells in Autoimmune Neurology, offering a promising new hope for treatment where conventional therapies have failed.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1604174/fullautoimmune neurological diseasesCAR T-cellspreclinical dataclinical trialsCRSefficacy
spellingShingle Nikolaos A. Chinas
Harry Alexopoulos
CAR T-cells meet autoimmune neurological diseases: a new dawn for therapy
Frontiers in Immunology
autoimmune neurological diseases
CAR T-cells
preclinical data
clinical trials
CRS
efficacy
title CAR T-cells meet autoimmune neurological diseases: a new dawn for therapy
title_full CAR T-cells meet autoimmune neurological diseases: a new dawn for therapy
title_fullStr CAR T-cells meet autoimmune neurological diseases: a new dawn for therapy
title_full_unstemmed CAR T-cells meet autoimmune neurological diseases: a new dawn for therapy
title_short CAR T-cells meet autoimmune neurological diseases: a new dawn for therapy
title_sort car t cells meet autoimmune neurological diseases a new dawn for therapy
topic autoimmune neurological diseases
CAR T-cells
preclinical data
clinical trials
CRS
efficacy
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1604174/full
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