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Updated: Sep 17, 2025

Manufacturing Chimeric Antigen Receptor CAR T Cells for Adoptive Immunotherapy
Published on: December 17, 2019
[CAR T cells in non-malignant diseases]
Fabian Müller1,2,3, Melanie Hagen3,4, Georg Schett3,4
1Medizinische Klinik 5 - Hämatologie und Internistische Onkologie, Friedrich-Alexander-Universität Erlangen-Nürnberg und Uniklinikum Erlangen, Ulmenweg 18, 91054, Erlangen, Deutschland.
Chimeric antigen receptor (CAR) T-cell therapy targeting B cells shows promise for autoimmune diseases. This approach depletes autoreactive B cells, leading to sustained remission and immune system reset in patients with conditions like lupus and scleroderma.
Area of Science:
- Immunotherapy
- Cellular therapy
- Autoimmune disease pathogenesis
Context:
- CAR T-cells targeting CD19 or BCMA are standard for B-cell neoplasms.
- Autoreactive B-cells drive autoimmune diseases (AIDs).
- B-cell depletion via CAR T-cells may reset the immune system.
Purpose:
- To review and evaluate novel CAR T-cell developments for AIDs.
- To summarize early clinical trial results and treatment concepts.
Summary:
- B-cell-specific CAR T-cell therapy induces deep, sustained remission in B-cell-driven AIDs (e.g., SLE, SSc, IIM).
- Clinical improvement and organ damage reduction observed.
- Successes also noted in other B-cell-mediated conditions, including HIV and type 1 diabetes.
Impact:
- CAR T-cell therapy represents a novel treatment for severe chronic non-malignant diseases.
- Opens groundbreaking therapeutic possibilities.
- Potential for drug-free remission and immune system reset.
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