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TA-TMA occurring after sequential CD7 CAR-T cell therapy and allogeneic hematopoietic stem cell transplantation: a
Jinlin Zhang1, Li Ma2, Xiu Liu1
1First Central Hospital of Tianjin Medical University, Tianjin Medical University, Tianjin, China.
Frontiers in Immunology
|August 15, 2026
Summary
Chimeric antigen receptor T-cell (CAR-T) therapy followed by allogeneic hematopoietic stem cell transplantation (allo-HSCT) is a key treatment for blood cancers. This case highlights transplant-associated thrombotic microangiopathy (TA-TMA) as a rare complication after this sequential therapy.
Area of Science:
- Hematology
- Immunotherapy
- Oncology
Background:
- Chimeric antigen receptor T-cell (CAR-T) therapy combined with allogeneic hematopoietic stem cell transplantation (allo-HSCT) is a vital strategy for refractory/relapsed hematologic malignancies.
- This sequential therapy offers a novel approach for T-lymphoid malignancies, CD7-positive acute myeloid leukemia (AML), and mixed phenotype acute leukemia (MPAL).
- It aims to achieve tumor eradication, hematopoietic reconstitution, and prevent graft-versus-host disease (GVHD), while avoiding toxic conventional treatments.
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