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Cited by 281

The DOI matches its Crossref record; 439 of the 439 references it cites were found in a registry or an index.

CAR-T cell therapy for cancer: current challenges and future directions

Open access
Zugasti, Inés, Espinosa-Aroca, Lady, Fidyt, Klaudyna, Mulens-Arias, Vladimir, Diaz-Beya, Marina, Juan, Manel, Urbano-Ispizua, Álvaro, Esteve, Jordi, Velasco-Hernandez, Talia, Menéndez, Pablo·2025·Signal Transduction and Targeted Therapy

Abstract

Chimeric antigen receptor T (CAR-T) cell therapies have transformed the treatment of relapsed/refractory (R/R) B-cell malignancies and multiple myeloma by redirecting activated T cells to CD19- or BCMA-expressing tumor cells. However, this approach has yet to be approved for acute myeloid leukemia (AML), the most common acute leukemia in adults and the elderly. Simultaneously, CAR-T cell therapies continue to face significant challenges in the treatment of solid tumors. The primary challenge in developing CAR-T cell therapies for AML is the absence of an ideal target antigen that is both effective and safe, as AML cells share most surface antigens with healthy hematopoietic stem and progenitor cells (HSPCs). Simultaneously targeting antigen expression on both AML cells and HSPCs may result in life-threatening on-target/off-tumor toxicities such as prolonged myeloablation. In addition, the immunosuppressive nature of the AML tumor microenvironment has a detrimental effect on the immune response. This review begins with a comprehensive overview of CAR-T cell therapy for cancer, covering the structure of CAR-T cells and the history of their clinical application. It then explores the current landscape of CAR-T cell therapy in both hematologic malignancies and solid tumors. Finally, the review delves into the specific challenges of applying CAR-T cell therapy to AML, highlights ongoing global clinical trials, and outlines potential future directions for developing effective CAR-T cell-based treatments for relapsed/refractory AML.

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Metadata

Authors
Zugasti, I., Espinosa-Aroca, L., Fidyt, K., Mulens-Arias, V., Diaz-Beya, M., Juan, M., Urbano-Ispizua, Á., Esteve, J., Velasco-Hernandez, T., & Menéndez, P.
Venue
Signal Transduction and Targeted Therapy
Published
2025-07-04
Volume
10
Issue
1
Pages
210-210
ISSN
2059-3635 (ISSN-L)
OpenAlex
W4411987245
Cited by
281
References
439
FWCI
102.47
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: CAR-T cell therapy for cancer: current challenges and future directions. https://app.cochat.ai/papers/10.1038/s41392-025-02269-w
The paper
Zugasti, I., Espinosa-Aroca, L., Fidyt, K., Mulens-Arias, V., Diaz-Beya, M., Juan, M., Urbano-Ispizua, Á., Esteve, J., Velasco-Hernandez, T., & Menéndez, P. (2025). CAR-T cell therapy for cancer: current challenges and future directions. Signal Transduction and Targeted Therapy. https://doi.org/10.1038/s41392-025-02269-w

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