Engineering CAR-T therapies for autoimmune disease and beyond.

English, Emily P; Swingler, Rachel N; Patwa, Simran; Tosun, Mehmet; Howard, James F; Miljković, Miloš D; Jewell, Christopher M · Sci Transl Med · 2024

review · Level V

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Abstract

Chimeric antigen receptor-T cell (CAR-T) therapy has transformed the management of refractory hematological malignancies. Now that targeting pathogenic cells of interest with antigen-directed cytotoxic T lymphocytes is possible, the field is expanding the reach of CAR-T therapy beyond oncology. Recently, breakthrough progress has been made in the application of CAR-T technology to autoimmune diseases, exploiting the same validated targets that were used by pioneering CAR-T therapies in hematology. Here, we discuss recent advances and outcomes that are paving the way for extension to new therapeutic areas, including autoimmunity.

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