The development of single-cell lineage tracing technology and its application in immunotherapy

Jun Wang1, Zhisen Li1, Jia Chen1

  • 1School of Life Sciences and Bio-pharmaceutics, the First Affiliated Hospital, Guangdong Pharmaceutical University, Guangzhou, People's Republic of China.

Molecular Therapy. Advances
|July 24, 2026
PubMed

Insights

Single-cell lineage tracing (SCLT) offers new ways to track engineered T cells in cancer therapy. This technology helps understand T cell behavior and improve treatments, addressing challenges like tumor heterogeneity and relapse.

Area of Science:

  • Immunology
  • Genetics
  • Biotechnology

Background:

  • Immunotherapy, especially CAR-T cell therapy, shows promise for cancer treatment.
  • Patient relapse after CAR-T therapy highlights the need for deeper understanding of T cell dynamics.
  • Tumor heterogeneity and the immune microenvironment complicate the study of engineered T cells in vivo.

Purpose of the Study:

  • To review recent advancements in single-cell lineage tracing (SCLT) multi-omics.
  • To explore how SCLT overcomes limitations in spatiotemporal resolution for cell tracking.
  • To introduce a novel CRISPR-based DNA barcoding method for monitoring CAR-T cells.

Main Methods:

  • Utilizes CRISPR-based labeling and mitochondrial DNA tracking for SCLT.
  • Employs multi-omics approaches for comprehensive cellular analysis.
  • Develops novel DNA barcodes for tracking CAR-T cell evolution.

Main Results:

  • SCLT provides single-cell resolution data on T cell clonal evolution and exhaustion.
  • The reviewed SCLT methods address spatiotemporal resolution constraints in cell tracking.
  • A new CRISPR-based method for monitoring CAR-T cells has been developed.

Conclusions:

  • SCLT is a powerful tool for understanding engineered T cell behavior in cancer therapy.
  • This technology offers insights into T cell dynamics, aiding in overcoming treatment resistance.
  • SCLT advancements, including novel barcoding, are crucial for enhancing future cell therapy strategies.

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