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Optimal Avidity of the Immune Synapse and Mitochondrial Repair Trigger Asymmetrical Cell Division and CAR T Cell Persistence - Review.

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Transplantation and cellular therapy 📖 저널 OA 27.5% 2025: 2/13 OA 2026: 23/78 OA 2025~2026 2026 Vol.32(4) p. 398-411 OA CAR-T cell therapy research
TL;DR A hypothesis linking mitophagy to CAR T cell exhaustion is presented, modulation of which may be clinically relevant in the treatment of cancers with CAR T cells.
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PubMed DOI OpenAlex Semantic 마지막 보강 2026-05-01
OpenAlex 토픽 · CAR-T cell therapy research Cancer Immunotherapy and Biomarkers Immunotherapy and Immune Responses

Raychaudhuri J, Anasetti C

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A hypothesis linking mitophagy to CAR T cell exhaustion is presented, modulation of which may be clinically relevant in the treatment of cancers with CAR T cells.

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APA Jyotishankar Raychaudhuri, Claudio Anasetti (2026). Optimal Avidity of the Immune Synapse and Mitochondrial Repair Trigger Asymmetrical Cell Division and CAR T Cell Persistence - Review.. Transplantation and cellular therapy, 32(4), 398-411. https://doi.org/10.1016/j.jtct.2025.12.988
MLA Jyotishankar Raychaudhuri, et al.. "Optimal Avidity of the Immune Synapse and Mitochondrial Repair Trigger Asymmetrical Cell Division and CAR T Cell Persistence - Review.." Transplantation and cellular therapy, vol. 32, no. 4, 2026, pp. 398-411.
PMID 41455592 ↗

Abstract

Chimeric antigen receptor (CAR) T cell persistence with memory is the current research focus of cancer immunotherapy. The incomplete effect of CAR T cells against tumors results from CAR T cell dysfunction and exhaustion. Asymmetric cell division is an evolutionarily conserved mechanism to maintain mother stem cells during embryonic development, and for immune cells to provide a continuous supply of diverse populations to fight infections and cancer. CAR T cells use ACD to determine their fate during the first mitotic division after interaction with its target, creating a pool of memory CAR T cells which can be recalled to be effector cells during tumor relapse, necessarily to offset the diminished ability of exhausted CAR T cells in controlling the tumor. Affinity of the CAR T - target cell immune synapse and mitochondrial dynamics regulate ACD. We review the literature regarding CAR T cell persistence, exhaustion, and mechanisms of reversing exhaustion. Subsequently, we present a hypothesis linking mitophagy to CAR T cell exhaustion, modulation of which may be clinically relevant in the treatment of cancers with CAR T cells.

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