CAR T cell therapy targets key mutation driving rare blood cancers

A new form of CAR T-cell therapy has been designed to find and destroy the cancer-driving stem cells responsible for a group of blood cancers known as myeloproliferative neoplasms (MPNs), while leaving healthy blood cells unharmed, according to new research led by UCL and University of Oxford researchers.

MPNs are chronic blood cancers that begin when a mutation arises in the DNA of a blood stem cell. Over time, some patients progress to myelofibrosis, a serious condition marked by scarring of the bone marrow and anemia.

In roughly 1 in 5 cases, the disease transforms into an aggressive leukemia-like phase where survival may be measured in months. For most patients, there are no curative treatments available.

CAR T-cell therapy works by reprogramming a patient’s own immune cells to target specific cells in the body and is already a successful treatment in other blood cancers. In this study, published in Science Translational Medicine, the engineered cells were designed to recognize a mutation found in around a third of MPN patients called CALR.

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