Recent advances of chimeric antigen receptor T‐cell therapy for acute myeloid leukemia

Acute myeloid leukemia (AML) is a heterogeneously primary hematopoietic neoplasm characterized by uncontrolled proliferation of immature myeloid cells, which is characterized with poor outcomes. Despite tremendous advances in the treatment paradigm of AML in the past several decades, the cure and pr...

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Main Authors: Yang Liu, Wanting Wang, Chaofan Wang, Jun Deng, Yu Hu, Heng Mei, Shanshan Luo
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1572407/full
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author Yang Liu
Wanting Wang
Chaofan Wang
Jun Deng
Yu Hu
Yu Hu
Heng Mei
Shanshan Luo
author_facet Yang Liu
Wanting Wang
Chaofan Wang
Jun Deng
Yu Hu
Yu Hu
Heng Mei
Shanshan Luo
author_sort Yang Liu
collection DOAJ
description Acute myeloid leukemia (AML) is a heterogeneously primary hematopoietic neoplasm characterized by uncontrolled proliferation of immature myeloid cells, which is characterized with poor outcomes. Despite tremendous advances in the treatment paradigm of AML in the past several decades, the cure and prognosis remain unfavorable. More effective treatments are therefore needed to improve the clinical outcomes. Among newly emerging immunotherapies, chimeric antigen receptor (CAR)-T cell immunotherapy is an exceedingly promising approach that has remarkably improved the overall survival for patients with AML. However, current CAR-T cell therapy for AML faces numerous significant challenges such as the identification of truly AML-specific surface antigens, the on-target/off-tumor toxicity, and the immunosuppressive microenvironment of AML. In order to conquer these limitations, novel strategies to advance CAR-T therapy are urgently needed. In this comprehensive review, we summarize the current status of immunotherapy, especially CAR-T cell therapy, highlight the outcomes of current trials and the limitations of CAR-T immunotherapy, hopefully to provide novel insights into the future directions of CAR-T cells in AML.
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publisher Frontiers Media S.A.
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spelling doaj-art-40fa6d7b1dd344d29225d0b5224dbf152025-08-20T03:51:58ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-05-011610.3389/fimmu.2025.15724071572407Recent advances of chimeric antigen receptor T‐cell therapy for acute myeloid leukemiaYang Liu0Wanting Wang1Chaofan Wang2Jun Deng3Yu Hu4Yu Hu5Heng Mei6Shanshan Luo7Institute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaInstitute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaInstitute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaInstitute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaInstitute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaKey Laboratory of Molecular Biological Targeted Therapies of the Ministry of Education, Wuhan, ChinaInstitute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaInstitute of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaAcute myeloid leukemia (AML) is a heterogeneously primary hematopoietic neoplasm characterized by uncontrolled proliferation of immature myeloid cells, which is characterized with poor outcomes. Despite tremendous advances in the treatment paradigm of AML in the past several decades, the cure and prognosis remain unfavorable. More effective treatments are therefore needed to improve the clinical outcomes. Among newly emerging immunotherapies, chimeric antigen receptor (CAR)-T cell immunotherapy is an exceedingly promising approach that has remarkably improved the overall survival for patients with AML. However, current CAR-T cell therapy for AML faces numerous significant challenges such as the identification of truly AML-specific surface antigens, the on-target/off-tumor toxicity, and the immunosuppressive microenvironment of AML. In order to conquer these limitations, novel strategies to advance CAR-T therapy are urgently needed. In this comprehensive review, we summarize the current status of immunotherapy, especially CAR-T cell therapy, highlight the outcomes of current trials and the limitations of CAR-T immunotherapy, hopefully to provide novel insights into the future directions of CAR-T cells in AML.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1572407/fullacute myeloid leukemiachimeric antigen receptor T cellimmunotherapyadoptive cell therapyimmunosuppressive microenvironment
spellingShingle Yang Liu
Wanting Wang
Chaofan Wang
Jun Deng
Yu Hu
Yu Hu
Heng Mei
Shanshan Luo
Recent advances of chimeric antigen receptor T‐cell therapy for acute myeloid leukemia
Frontiers in Immunology
acute myeloid leukemia
chimeric antigen receptor T cell
immunotherapy
adoptive cell therapy
immunosuppressive microenvironment
title Recent advances of chimeric antigen receptor T‐cell therapy for acute myeloid leukemia
title_full Recent advances of chimeric antigen receptor T‐cell therapy for acute myeloid leukemia
title_fullStr Recent advances of chimeric antigen receptor T‐cell therapy for acute myeloid leukemia
title_full_unstemmed Recent advances of chimeric antigen receptor T‐cell therapy for acute myeloid leukemia
title_short Recent advances of chimeric antigen receptor T‐cell therapy for acute myeloid leukemia
title_sort recent advances of chimeric antigen receptor t cell therapy for acute myeloid leukemia
topic acute myeloid leukemia
chimeric antigen receptor T cell
immunotherapy
adoptive cell therapy
immunosuppressive microenvironment
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1572407/full
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