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Anti-CD1a CAR-T cells is an investigational chimeric antigen receptor (CAR) T-cell therapy being developed by The Affiliated Hospital of Xuzhou Medical University for the treatment of relapsed or refractory acute T-lymphoblastic leukemia (T-ALL) and lymphoblastic lymphoma (LBL). The therapy involves genetically engineering T-cells to express a CAR that specifically targets CD1a, a transmembrane glycoprotein expressed in approximately 40% of T-ALL cases, particularly the cortical T-ALL subtype. Because CD1a is not expressed on mature peripheral blood T-cells, this approach avoids the issue of fratricide (CAR-T cells killing each other) during the manufacturing process. The mechanism of action involves direct immunologic cytotoxicity against CD1a-positive malignant cells, leading to the elimination of leukemic blasts.
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