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

Maciocia, Nicola; Wade, Brandon; Maciocia, Paul; (2025) CAR T-cell therapies for T-cell malignancies: does cellular immunotherapy represent the best chance of cure? Blood Advances , 9 (4) pp. 913-923. 10.1182/bloodadvances.2023012263. Green open access

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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.

Type: Article
Title: CAR T-cell therapies for T-cell malignancies: does cellular immunotherapy represent the best chance of cure?
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1182/bloodadvances.2023012263
Publisher version: https://doi.org/10.1182/bloodadvances.2023012263
Language: English
Additional information: © 2025 American Society of Hematology. Published by Elsevier Inc. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0), permitting only noncommercial, nonderivative use with attribution. All other rights reserved.
Keywords: Humans, Immunotherapy, Adoptive, Receptors, Chimeric Antigen, T-Lymphocytes, Receptors, Antigen, T-Cell, Treatment Outcome, Lymphoma, T-Cell, Precursor T-Cell Lymphoblastic Leukemia-Lymphoma
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute > Research Department of Haematology
URI: https://discovery.ucl.ac.uk/id/eprint/10206061
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