CAR-T Cell Therapy: Advances in Kidney-Related Diseases

Longyuan Wu1,2,3,4, Youqin Feng1,2,3,4, Yue Huang1,2,3,4

  • 1Bone Marrow Transplantation Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Abstract

Insights

Chimeric antigen receptor (CAR)-T cell therapy shows promise for treating blood cancers and autoimmune diseases. This review examines CAR-T cell therapy

Area of Science:

  • Immunotherapy and Cellular Therapy
  • Oncology and Nephrology Research

Background:

  • Chimeric antigen receptor (CAR)-T cell therapy is a groundbreaking immunotherapy utilizing engineered T cells to target abnormal cells via CAR-antigen recognition.
  • This therapy has demonstrated significant success in treating hematological malignancies and autoimmune diseases, prompting exploration into solid tumors like renal malignancies.
  • A critical concern is the associated nephrotoxicity, stemming from cytokine release and potential damage to healthy kidney tissues.

Purpose of the Study:

  • To review current research strategies for CAR-T cell therapy in kidney-related diseases.
  • To analyze the mechanisms and implications of nephrotoxicity associated with CAR-T cell therapy.
  • To provide insights for optimizing CAR-T cell therapy research and clinical application, particularly for renal malignancies.

Main Methods:

  • Comprehensive literature review of studies on CAR-T cell therapy and nephrotoxicity.
  • Analysis of research strategies targeting renal malignancies and other kidney-related conditions.
  • Synthesis of findings on cytokine release and tissue damage mechanisms.

Main Results:

  • CAR-T cell therapy is being investigated for renal malignancies, multiple myeloma, systemic lupus erythematosus, and acquired immunodeficiency syndrome, all potentially causing kidney complications.
  • Understanding the research progress in CAR-T cell therapies is vital for identifying new targets and combinations.
  • Nephrotoxicity is a significant comorbidity that requires careful management and further investigation.

Conclusions:

  • CAR-T cell therapy offers a promising avenue for treating various diseases with kidney involvement.
  • Addressing and mitigating nephrotoxicity is crucial for the safe and effective expansion of CAR-T cell therapy.
  • Further research into novel targets, combinations, and optimization strategies is needed to enhance the clinical value of CAR-T cell therapy.

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