Evidence map›Paper›PMID 41146171›Full record

ReviewJournal of hematology & oncology2025

Recent advances in CAR-MSCs: the new engine of cellular immunotherapy evolution.

Ying Chen, Jing Li, Yingying Ma, Jianjun Fang, Yang Yang, Lun Yan, Xi Zhang, Cheng Zhang

Abstract readReview
In one paragraph

Review in Journal of hematology & oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

8 authors.

Ying Chen *Medical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Jing Li *Medical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Yingying Ma *Medical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Jianjun FangMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Yang YangMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Lun YanMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China.
Xi ZhangMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China. zhangxi@tmmu.edu.cn.
Cheng ZhangMedical Center of Hematology, Xinqiao Hospital of Army Medical University, Chongqing, 400037, China. chzhang2014@tmmu.edu.cn.

Funding

Chongqing Medical Scientific Research project (Joint project of Chongqing Health Commission and Science and Technology Bureau) 2025CCXM002Chongqing Science and Health Collaborative Major Project on Medical Science and Technology Innovation 2024DBXM004Clinical Research Special Project of the Second Affiliated Hospital, Army Medical University 2024F010National Key R&D Program of China 2023YFC2508905National Natural Science Foundation of China 82170212National Natural Science Foundation of China 82341201Special Project for Talent Construction in Xinqiao Hospital of Army Medical University 2022XKRC001
6 · The paper itself

Abstract

In recent years, the development of chimeric antigen receptor (CAR) technology has greatly promoted the progress of cellular immunotherapy. Among them, CAR-T cell therapy has shown remarkable clinical effects in the treatment of hematological malignancies. However, this therapy still faces a series of challenges, including immunogenicity, toxic side effects, and insufficient maintenance of long-term efficacy. The latest research progress has extended CAR technology to mesenchymal stem cells (MSCs), and the resulting CAR-MSCs combine the precise targeting ability of CAR molecules with the inherent immunomodulatory, tissue homing, and regenerative repair properties of MSCs, providing a new therapeutic strategy for cancer and immune-related diseases. This review examines the engineering design, biological characteristics, and applications of CAR-MSCs in oncology and immune-related disorder therapy. Preclinical studies have shown their effectiveness against glioblastoma, Ewing sarcoma, acute myeloid leukemia, and lung cancer, as well as graft-versus-host disease, through TRAIL secretion, bispecific antibody production, and Treg induction. Despite promising results, significant hurdles persist in CAR-MSC manufacturing scalability, cell persistence, heterogeneous MSC tissue sourcing, and undefined application protocols, all of which are critical for clinical translation. We investigated corresponding strategies, including nonviral gene delivery, metabolic engineering, senescence-resistant MSC clones, and microenvironment-specific activation. Standardized production workflows incorporating rigorous quality control are essential for future applications. CAR-MSCs represent a paradigm shift in precision immunotherapy by providing dual therapeutic modalities for cancer and immune disorders. Fully unlocking their therapeutic potential will require interdisciplinary efforts to overcome biological and technical barriers while advancing combination therapies.

Indexed as

Immunotherapy, AdoptiveMesenchymal Stem CellsMesenchymal Stem Cell TransplantationNeoplasmsReceptors, Chimeric AntigenAnimalsHumansReceptors, Chimeric AntigenCAR-MSCsCellular immunotherapyChimeric antigen receptorClinical translationGenetic engineeringImmune diseasesImmunomodulationMesenchymal stem cellsTumor microenvironmentTumor targeting

Identifiers

PMID41146171
PMCPMC12557984

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.