Evidence map›Paper›PMID 40888190›Full record

ReviewImmunotherapy2025

Scalable and cost-effective CAR-T exosome therapies: challenges and future directions.

Xuan Zhao, Huixian Li, Xinwei Zhao, Gaofeng Liang

Abstract readReview
In one paragraph

Review in Immunotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. [Advances in stem cell and exosome-based therapies for dry eye disease].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
    Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Xuan ZhaoHenan International Joint Labortory of Small Nucleic Acid and Tumor precision Theranostics; School of Basic Medicine and Forensic Medicine, Henan University of Science Technology, Luoyang, China.
Huixian LiHenan International Joint Labortory of Small Nucleic Acid and Tumor precision Theranostics; School of Basic Medicine and Forensic Medicine, Henan University of Science Technology, Luoyang, China.
Xinwei ZhaoHenan International Joint Labortory of Small Nucleic Acid and Tumor precision Theranostics; School of Basic Medicine and Forensic Medicine, Henan University of Science Technology, Luoyang, China.
Gaofeng LiangHenan International Joint Labortory of Small Nucleic Acid and Tumor precision Theranostics; School of Basic Medicine and Forensic Medicine, Henan University of Science Technology, Luoyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor T-cell (CAR-T) therapy has revolutionized hematological cancer treatment but faces challenges in solid tumors, including poor infiltration, cytokine release syndrome (CRS), and toxicity. CAR-T cell-derived exosomes (CAR-T exosomes) offer a promising alternative by inheriting CAR-mediated targeting and cytotoxic molecules (e.g., perforin, granzyme B), while avoiding issues such as CRS. Their nanoscale size enhances tumor penetration, and the lack of MHC reduces immunogenicity, which supports "off-the-shelf" applications. However, scalability remains limited by low yields from traditional isolation methods [e.g., ultracentrifugation (UC)], costly equipment, and inconsistent purification. This review summarizes recent advances in CAR-T exosome biology, scalable production strategies, and combinatorial approaches to overcome immunosuppressive tumor microenvironments (e.g., immune checkpoint inhibitors, cytokine modulation). We also discuss clinical prospects and future directions.

Indexed as

ExosomesImmunotherapy, AdoptiveNeoplasmsReceptors, Chimeric AntigenAnimalsCost-Benefit AnalysisHumansTumor MicroenvironmentReceptors, Chimeric AntigenCAR-T exosome therapycost optimizationexosome separation and purificationscale-up productiontumor treatment

Identifiers

PMID40888190
PMCPMC12439577

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.