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CAR-T therapy: pioneering a new era in the treatment of autoimmune diseases

Yuanhao Wu, Luyao Han, Yibin Wang, M. H. Gu, Yunuo Wang, Jingyue Gao, Hanjing Huang, Chen Li

2025Frontiers in Immunology6 citationsDOIOpen Access PDF

Abstract

CAR-T therapy, an innovative immunotherapeutic approach, genetically modifies T cells to express CARs, enabling targeted destruction of specific antigen-expressing cells. Initially developed for oncology, CAR-T therapy has shown significant potential in treating autoimmune diseases. By targeting CD19+ B cells, CAR-T therapy has demonstrated rapid and sustained remission in refractory cases, with studies showing normalized laboratory parameters and reduced disease activity. At the same time, CAR-NK, CAAR-T and CAR-Treg technologies further broaden therapeutic strategies. However, some adverse effects also exist, including CRS, ICANS and so on. Despite these challenges, CAR therapy represents a promising advancement in autoimmune disease treatment, with ongoing research aimed at enhancing efficacy, durability, and safety. Continuous innovation is essential to address limitations and optimize therapeutic outcomes.

Topics & Concepts

Chimeric antigen receptorMedicineCAR T-cell therapyAdverse effectImmunologyDiseaseCD19Refractory (planetary science)Therapeutic approachTargeted therapyAutoimmune diseaseImmunotherapyAntigenInternal medicineBiologyImmune systemCancerAstrobiologyCAR-T cell therapy researchVirus-based gene therapy researchNanowire Synthesis and Applications