False-Positive HIV Testing in a Chimeric Antigen Receptor T-Cell Recipient: A Case Report

Chimeric antigen receptor T (CAR T) cell therapy has transformed the treatment of hematologic malignancies, and its use is rapidly expanding in other areas as well. Many currently available CAR T cells use a lentiviral vector derived from HIV-1, which can then lead to false -positive HIV tests in CA...

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Bibliographic Details
Main Authors: Zoe Raglow, Virginia M. Pierce, Lizbeth Cahuayme-Zuniga
Format: Article
Language:English
Published: American College of Physicians 2024-12-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.0621
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Summary:Chimeric antigen receptor T (CAR T) cell therapy has transformed the treatment of hematologic malignancies, and its use is rapidly expanding in other areas as well. Many currently available CAR T cells use a lentiviral vector derived from HIV-1, which can then lead to false -positive HIV tests in CAR T recipients. We present a case report and review of literature of this phenomenon. As increasing numbers of patients receive CAR T-cell therapy, awareness of the potential for false-positive HIV testing is critical for providing care to these patients.
ISSN:2767-7664