CAR T-cell therapies for T-cell malignancies: does cellular immunotherapy represent the best chance of cure?

Abstract: Chimeric antigen receptor T-cell (CAR-T) therapy has proven successful for B-cell lymphomas and leukemias. This success has inspired the development of CAR-T for T-cell malignancies. T-cell lymphomas and T-cell acute lymphoblastic leukemia (T-ALL) are highly heterogenous diseases but are u...

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Main Authors: Nicola Maciocia, Brandon Wade, Paul Maciocia
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Blood Advances
Online Access:http://www.sciencedirect.com/science/article/pii/S2473952924007432
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author Nicola Maciocia
Brandon Wade
Paul Maciocia
author_facet Nicola Maciocia
Brandon Wade
Paul Maciocia
author_sort Nicola Maciocia
collection DOAJ
description Abstract: Chimeric antigen receptor T-cell (CAR-T) therapy has proven successful for B-cell lymphomas and leukemias. This success has inspired the development of CAR-T for T-cell malignancies. T-cell lymphomas and T-cell acute lymphoblastic leukemia (T-ALL) are highly heterogenous diseases but are united by poor prognosis in the relapsed/refractory setting and the lack of any novel, targeted therapies. CAR-T therapy is a promising solution for these diseases but carries a number of challenges, principally that target antigens are typically shared between malignant and normal T cells. This can cause issues with fratricide and T-cell aplasia. In this review we discuss the current state of CAR-T treatment for T-ALL and T-cell lymphomas, highlighting recent novel clinical data for T-cell malignancies and discuss lessons that can be learned for future research in this area.
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spelling doaj-art-8bb8835ab8e54e26b8a91f24f3379c162025-08-20T03:11:46ZengElsevierBlood Advances2473-95292025-02-019491392310.1182/bloodadvances.2023012263CAR T-cell therapies for T-cell malignancies: does cellular immunotherapy represent the best chance of cure?Nicola Maciocia0Brandon Wade1Paul Maciocia2Department of Haematology, University College London Cancer Institute, London, United Kingdom; Correspondence: Nicola Maciocia, Cancer Institute, University College London, 72 Huntley St, London WC1E 6DD, United Kingdom;Department of Haematology, University College London Cancer Institute, London, United KingdomDepartment of Haematology, University College London Cancer Institute, London, United KingdomAbstract: Chimeric antigen receptor T-cell (CAR-T) therapy has proven successful for B-cell lymphomas and leukemias. This success has inspired the development of CAR-T for T-cell malignancies. T-cell lymphomas and T-cell acute lymphoblastic leukemia (T-ALL) are highly heterogenous diseases but are united by poor prognosis in the relapsed/refractory setting and the lack of any novel, targeted therapies. CAR-T therapy is a promising solution for these diseases but carries a number of challenges, principally that target antigens are typically shared between malignant and normal T cells. This can cause issues with fratricide and T-cell aplasia. In this review we discuss the current state of CAR-T treatment for T-ALL and T-cell lymphomas, highlighting recent novel clinical data for T-cell malignancies and discuss lessons that can be learned for future research in this area.http://www.sciencedirect.com/science/article/pii/S2473952924007432
spellingShingle Nicola Maciocia
Brandon Wade
Paul Maciocia
CAR T-cell therapies for T-cell malignancies: does cellular immunotherapy represent the best chance of cure?
Blood Advances
title CAR T-cell therapies for T-cell malignancies: does cellular immunotherapy represent the best chance of cure?
title_full CAR T-cell therapies for T-cell malignancies: does cellular immunotherapy represent the best chance of cure?
title_fullStr CAR T-cell therapies for T-cell malignancies: does cellular immunotherapy represent the best chance of cure?
title_full_unstemmed CAR T-cell therapies for T-cell malignancies: does cellular immunotherapy represent the best chance of cure?
title_short CAR T-cell therapies for T-cell malignancies: does cellular immunotherapy represent the best chance of cure?
title_sort car t cell therapies for t cell malignancies does cellular immunotherapy represent the best chance of cure
url http://www.sciencedirect.com/science/article/pii/S2473952924007432
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AT paulmaciocia cartcelltherapiesfortcellmalignanciesdoescellularimmunotherapyrepresentthebestchanceofcure