CAR T Cells Beyond Cancer: Hope for Immunomodulatory Therapy of Infectious Diseases
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Updated: Jan 2, 2026

A Nonviral Approach to Generate Transient Chimeric Antigen Receptor T Cells Using mRNA for Cancer Immunotherapy
Published on: February 21, 2025
Michelle Seif1, Hermann Einsele1, Jürgen Löffler1
1Department of Internal Medicine II, University Hospital Wuerzburg, Würzburg, Germany.
Abstract:
Infectious diseases are still a significant cause of morbidity and mortality worldwide. Despite the progress in drug development, the occurrence of microbial resistance is still a significant concern. Alternative therapeutic strategies are required for non-responding or relapsing patients. Chimeric antigen receptor (CAR) T cells has revolutionized cancer immunotherapy, providing a potential therapeutic option for patients who are unresponsive to standard treatments. Recently two CAR T cell therapies, Yescarta® (Kite Pharma/Gilead) and Kymriah® (Novartis) were approved by the FDA for the treatments of certain types of non-Hodgkin lymphoma and B-cell precursor acute lymphoblastic leukemia, respectively. The success of adoptive CAR T cell therapy for cancer has inspired researchers to develop CARs for the treatment of infectious diseases. Here, we review the main achievements in CAR T cell therapy targeting viral infections, including Human Immunodeficiency Virus, Hepatitis C Virus, Hepatitis B Virus, Human Cytomegalovirus, and opportunistic fungal infections such as invasive aspergillosis.
Insights
Chimeric antigen receptor (CAR) T cell therapy, successful in cancer treatment, is being explored for infectious diseases. This approach offers new hope for patients with viral infections like HIV and opportunistic fungal infections.
Area of Science:
- Immunology
- Infectious Diseases
- Cell Therapy
Background:
- Infectious diseases remain a major global health burden, causing significant morbidity and mortality.
- Microbial resistance to existing drugs necessitates alternative therapeutic strategies for non-responding patients.
- Chimeric antigen receptor (CAR) T cell therapy has shown remarkable success in cancer immunotherapy.
Purpose of the Study:
- To review the progress and potential of CAR T cell therapy in treating viral infections.
- To explore the application of CAR T cells against opportunistic fungal infections.
Main Methods:
- Review of current literature on CAR T cell therapy for infectious diseases.
- Analysis of achievements in targeting specific viral pathogens and fungal infections.
- Discussion of approved CAR T cell therapies in oncology as a precedent.
Main Results:
- CAR T cell therapy has demonstrated potential in preclinical models for various viral infections.
- Early research indicates promise for targeting opportunistic infections like invasive aspergillosis.
- The success of CAR T cells in cancer provides a strong foundation for infectious disease applications.
Conclusions:
- CAR T cell therapy represents a promising frontier for treating challenging infectious diseases.
- Further research and clinical trials are warranted to establish CAR T cells as a viable treatment option for infections.
- This innovative approach could offer new hope for patients with limited therapeutic alternatives.
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