Evidence map›Paper›PMID 41800605›Full record

ReviewAnnals of medicine2026

Preclinical advances and mechanistic insights of CAR-T therapy for acute myeloid leukemia: from target iteration to microenvironment regulation.

Yang Xiao, Long Liu, Shumei Liu, Lijing Wang, Jinfeng Tian, Ziyi Shao, Jingfei Shi, Chao Cui

Abstract readReview
In one paragraph

Review in Annals of medicine, 2026. 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. Review
  2. Advancements in diagnosis and treatments of acute leukemia.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2026
    Article
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.

Yang XiaoGeneral Practice, Qilu Hospital of Shandong University Dezhou Hospital, Dezhou, China.
Long LiuDepartment of Hematology, Qilu Hospital of Shandong University Dezhou Hospital, Dezhou, China.
Shumei LiuDepartment of Hematology, Qilu Hospital of Shandong University Dezhou Hospital, Dezhou, China.
Lijing WangDepartment of Hematology, Qilu Hospital of Shandong University Dezhou Hospital, Dezhou, China.
Jinfeng TianDepartment of Hematology, Qilu Hospital of Shandong University Dezhou Hospital, Dezhou, China.
Ziyi ShaoMedical School, Shandong Xiehe University, Jinan, Shandong, China.
Jingfei ShiDepartment of Clinical and Basic Medicine, Shandong First Medical University, Jinan, Shandong, China.ORCID 0009-0004-6117-3893
Chao CuiDepartment of Hematology, Qilu Hospital of Shandong University Dezhou Hospital, Dezhou, China.ORCID 0000-0002-7868-6263

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRelapsed/refractory acute myeloid leukaemia (AML) carries a dismal prognosis, primarily due to profound biological heterogeneity and the scarcity of effective targeted therapies. Chimeric antigen receptor T (CAR-T) cell therapy has emerged as a transformative investigational strategy for AML by genetically engineering T cells to specifically target tumour antigens; however, its clinical translation is severely impeded by target antigen scarcity and the immunosuppressive tumour microenvironment (TME). DISCUSSION: This review systematically summarizes the preclinical advances and mechanistic underpinnings of CAR-T therapy for AML, focusing on two core bottlenecks. First, it elaborates on the screening of candidate antigens (e.g. CD33, CD123) and cutting-edge target optimization strategies, including nanobody-based CARs, logic-gated systems, adapter-CAR technology and combinatorial approaches to mitigate antigen escape. Second, it dissects the inhibitory effects of the AML TME on CAR-T function and reviews corresponding intervention tactics, such as immune checkpoint blockade, cytokine arming and gene editing. Integrating key updates from the 2024 ASH Annual Meeting, the review also highlights emerging preclinical technologies, including off-the-shelf CAR-T, CAR-NK cells and γδ T cell therapy. Importantly, it acknowledges the prevalent preclinical-to-clinical translation gap, where promising lab efficacy has not yet translated into consistent clinical success.

conclusionsMultidimensional technological innovation and the synergistic optimization of combination therapies are critical to overcoming AML-specific barriers. These advances hold the potential to unlock the precise clinical application of CAR-T therapy, ultimately improving survival outcomes for patients with relapsed/refractory AML.

Indexed as

Immunotherapy, AdoptiveLeukemia, Myeloid, AcuteReceptors, Chimeric AntigenTumor MicroenvironmentAnimalsAntigens, NeoplasmHumansSialic Acid Binding Ig-like Lectin 3T-LymphocytesAntigens, NeoplasmReceptors, Chimeric AntigenSialic Acid Binding Ig-like Lectin 3acute myeloid leukaemiaCAR-T cellsimmunotherapytarget optimizationtumour immune microenvironment

Identifiers

PMID41800605
PMCPMC12973850

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Registered trials

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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.