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Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

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Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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Memory programming and new manufacturing paradigms in CAR-T cell therapy.

Niloufar Mohammadkhani1,2, Saber Ebrahimi3,4, Marzieh Hesam Mohammadi1,2

  • 1Department of Medicine I, Medical Center-University of Freiburg and Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.

Cancer Gene Therapy
|March 16, 2026
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Summary

Strategies to enhance chimeric antigen receptor (CAR) T cell persistence are explored, balancing anti-tumor activity with potential toxicities. Emerging "off-the-shelf" CAR-T therapies may reduce the need for prolonged CAR-T cell survival.

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Area of Science:

  • Immunology
  • Cell Therapy
  • Oncology

Background:

  • Chimeric antigen receptor (CAR) T cell therapy shows promise but is limited by short in vivo persistence.
  • Strategies focus on enhancing CAR-T cell survival, often via memory phenotypes, to improve anti-tumor activity.

Purpose of the Study:

  • To review recent advances in augmenting CAR-T cell persistence.
  • To discuss the role of memory-associated features in CAR-T cell longevity.
  • To highlight emerging "off-the-shelf" CAR-T platforms and their implications for persistence engineering.

Main Methods:

  • Literature review of studies on CAR-T cell persistence.
  • Analysis of strategies leveraging memory-like phenotypes.
  • Evaluation of emerging "off-the-shelf" CAR-T technologies.

Main Results:

  • Enhanced persistence can improve anti-tumor effects but may increase toxicity.
  • Memory-like phenotypes are key targets for prolonging CAR-T cell survival.
  • Novel "off-the-shelf" platforms offer potential for broad accessibility and timely treatment.

Conclusions:

  • Context-specific approaches are needed for CAR-T cell persistence strategies.
  • The development of "off-the-shelf" CAR-T cells may decrease the emphasis on engineering enhanced persistence.
  • Future directions involve balancing efficacy, safety, and accessibility in CAR-T cell therapy development.