CAR-T Therapy Beyond B-Cell Hematological Malignancies

Despite the advances of CAR-T cells in certain hematological malignancies, mostly from B-cell derivations such as non-Hodgkin lymphomas, acute lymphoblastic leukemia and multiple myeloma, a significant portion of other hematological and non-hematological pathologies can benefit from this innovative...

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Main Authors: Martina Canichella, Paolo de Fabritiis
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/14/1/41
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author Martina Canichella
Paolo de Fabritiis
author_facet Martina Canichella
Paolo de Fabritiis
author_sort Martina Canichella
collection DOAJ
description Despite the advances of CAR-T cells in certain hematological malignancies, mostly from B-cell derivations such as non-Hodgkin lymphomas, acute lymphoblastic leukemia and multiple myeloma, a significant portion of other hematological and non-hematological pathologies can benefit from this innovative treatment, as the results of clinical studies are demonstrating. The clinical application of CAR-T in the setting of acute T-lymphoid leukemia, acute myeloid leukemia, solid tumors, autoimmune diseases and infections has encountered limitations that are different from those of hematological B-cell diseases. To overcome these restrictions, strategies based on different molecular engineering platforms have been devised and will be illustrated below. The aim of this manuscript is to provide an overview of the CAR-T application in pathologies other than those currently treated, highlighting both the limits and results obtained with these settings.
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spelling doaj-art-f9f3676dd3f44222a3e6aae231b45dd42025-01-10T13:16:20ZengMDPI AGCells2073-44092025-01-011414110.3390/cells14010041CAR-T Therapy Beyond B-Cell Hematological MalignanciesMartina Canichella0Paolo de Fabritiis1Hematology, St. Eugenio Hospital, ASL Roma2, 00144 Rome, ItalyHematology, St. Eugenio Hospital, ASL Roma2, 00144 Rome, ItalyDespite the advances of CAR-T cells in certain hematological malignancies, mostly from B-cell derivations such as non-Hodgkin lymphomas, acute lymphoblastic leukemia and multiple myeloma, a significant portion of other hematological and non-hematological pathologies can benefit from this innovative treatment, as the results of clinical studies are demonstrating. The clinical application of CAR-T in the setting of acute T-lymphoid leukemia, acute myeloid leukemia, solid tumors, autoimmune diseases and infections has encountered limitations that are different from those of hematological B-cell diseases. To overcome these restrictions, strategies based on different molecular engineering platforms have been devised and will be illustrated below. The aim of this manuscript is to provide an overview of the CAR-T application in pathologies other than those currently treated, highlighting both the limits and results obtained with these settings.https://www.mdpi.com/2073-4409/14/1/41CAR-T in hematologyCAR-T in solid neoplasiainfectious and autoimmune diseasetumor microenvironmenttumor immunosuppression
spellingShingle Martina Canichella
Paolo de Fabritiis
CAR-T Therapy Beyond B-Cell Hematological Malignancies
Cells
CAR-T in hematology
CAR-T in solid neoplasia
infectious and autoimmune disease
tumor microenvironment
tumor immunosuppression
title CAR-T Therapy Beyond B-Cell Hematological Malignancies
title_full CAR-T Therapy Beyond B-Cell Hematological Malignancies
title_fullStr CAR-T Therapy Beyond B-Cell Hematological Malignancies
title_full_unstemmed CAR-T Therapy Beyond B-Cell Hematological Malignancies
title_short CAR-T Therapy Beyond B-Cell Hematological Malignancies
title_sort car t therapy beyond b cell hematological malignancies
topic CAR-T in hematology
CAR-T in solid neoplasia
infectious and autoimmune disease
tumor microenvironment
tumor immunosuppression
url https://www.mdpi.com/2073-4409/14/1/41
work_keys_str_mv AT martinacanichella carttherapybeyondbcellhematologicalmalignancies
AT paolodefabritiis carttherapybeyondbcellhematologicalmalignancies