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Disarming CAR-Tregs with a clinical-stage natural product to supercharge CAR-T therapy

Year: 2026
Type: article
Abstract: Chimeric antigen receptor (CAR)-T cell therapy has revolutionized treatment of relapsed/refractory B-cell malignancies, yet about 60% of patients eventually relapse or become resistant.1,2 A key mechanism underlying resistance is the emergence of CAR-expressing regulatory T cells (CAR-Tregs) within infused products. These CAR-Tregs can arise from transduction of natural Tregs or from conventional T cells that acquire a regulatory phenotype upon CAR engagement. Once present, they potently suppress effector CAR-T cells by secreting IL-10 and TGF-β, expressing CTLA-4 and CD25, and metabolically disrupting the tumor microenvironment.
Authors: Bowen Li, Haoran Xu, Wenjun Zhang, Jing Yang
Institution: Tongji University
Language: English
Subfield: Oncology
Field: Medicine
Open Access status: gold
Estimated APC paid: $3,900
OpenAlex ID: W7162190794
FWCI:
Cites: 11
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