CAR transgenic T-cell lymphoproliferative neoplasm (CTTLN): malignant transformation of cellular immunotherapy
Journal Title
Blood
Publication Type
Online publication before print
Abstract
Engineered T-cells have transformed hematooncology, but CAR transgene-bearing T-cell malignancies have emerged as a rare and serious genomic safety signal after CAR-T therapy. Available data support a multistep model in which pre-existing clonal fitness, CAR-T manufacture, vector integration, construct biology and post-infusion selection may contribute to different degrees. We review reported cases of CAR-transgenic T-cell lymphoproliferative neoplasms (CTTLN) and propose practical diagnostic criteria with a proportionate approach to genomic surveillance.
Department(s)
Haematology
Open Access at Publisher's Site
https://doi.org/10.1182/blood.2026033477
Terms of Use/Rights Notice
Refer to copyright notice on published article.


Creation Date: 2026-10-12 05:40:41
Last Modified: 2026-10-12 05:41:16
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