Enriching for T memory stem cells in CAR-T therapy for blood cancers improves clinical outcomes
CAR T therapy, in which a patient’s (or a donor’s) T cells are reprogrammed to attack cancer cells, has revolutionised the treatment of blood cancers. But the benefits don’t always last because the cells themselves sometimes don’t. Research in animals indicates that if, prior to infusion, the cells are enriched for T memory stem cells, which have an inherent self-renewal capacity, they last longer and perform better. Sure enough, a recent first-in-human trial confirmed stem-enriched CAR T cells outshone standard cells, persisting in the body and improving clinical outcomes. The images above are PET-CT scans of a leukaemia patient before (left), thirteen days after (middle) and ninety-four days after (right) transfusion with the enriched cells and show a striking reduction in bone lesions (green signals in the vertebrae and legs). While this cell preparation takes longer, the results suggest its worth the effort, offering more consistent and persistent clinical benefits.
Written by
BPoD stands for Biomedical Picture of the Day. Managed by the MRC Laboratory of Medical Sciences until Jul 2023, it is now run independently by a dedicated team of scientists and writers. The website aims to engage everyone, young and old, in the wonders of biology, and its influence on medicine. The ever-growing archive of more than 4000 research images documents over a decade of progress. Explore the collection and see what you discover. Images are kindly provided for inclusion on this website through the generosity of scientists across the globe.
BPoD is also available in Catalan at www.bpod.cat with translations by the University of Valencia.