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CAR-T cell exhaustion in B cell lymphoma: Current status, mechanisms, and potential solutions.

Molecular therapy. Oncology 2026 Vol.34(1) p. 201099

Zhao R, Xia J, Zheng Y, Huang W, Yu L, Wang L

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Chimeric antigen receptor T cell (CAR-T) therapy represents a revolutionary approach in the treatment of refractory or relapsed hematological malignancies including lymphoma.

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APA Zhao R, Xia J, et al. (2026). CAR-T cell exhaustion in B cell lymphoma: Current status, mechanisms, and potential solutions.. Molecular therapy. Oncology, 34(1), 201099. https://doi.org/10.1016/j.omton.2025.201099
MLA Zhao R, et al.. "CAR-T cell exhaustion in B cell lymphoma: Current status, mechanisms, and potential solutions.." Molecular therapy. Oncology, vol. 34, no. 1, 2026, pp. 201099.
PMID 41502492

Abstract

Chimeric antigen receptor T cell (CAR-T) therapy represents a revolutionary approach in the treatment of refractory or relapsed hematological malignancies including lymphoma. Despite its efficacy, a significant subset of patients experiences disease progression or relapse after initial response, and CAR-T cell exhaustion in the tumor microenvironment (TME) is a critical cause for the unsatisfactory responses. This review discusses the current situation of CAR-T therapies in the clinical treatment of lymphoma patients, the mechanisms of CAR-T cell exhaustion, and potential strategies to overcome CAR-T cell exhaustion, thereby bringing hope to improve therapeutic outcomes for lymphoma patients.

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