Evidence map›Paper›PMID 42122287›Full record

ReviewCancers2026

Prospects of Chimeric Antigen Receptor T-Cell Therapy in Myelofibrosis: From Immunopathogenesis to Therapeutic Strategies.

Lulu Kong, Chunling Fu, Lianggui Song, Wenxiao Wang, Mengchu Ji, Fei Li, Xiaofeng Shi, Wei Chen

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Lulu KongThe Affiliated Hospital of Xuzhou Medical University, Department of Haematology, Institute of Blood Diseases, Key Laboratory of Bone-Marrow Stem Cells, Xuzhou 221000, China.
Chunling FuThe Affiliated Hospital of Xuzhou Medical University, Department of Haematology, Institute of Blood Diseases, Key Laboratory of Bone-Marrow Stem Cells, Xuzhou 221000, China.
Lianggui SongThe Affiliated Hospital of Xuzhou Medical University, Department of Haematology, Institute of Blood Diseases, Key Laboratory of Bone-Marrow Stem Cells, Xuzhou 221000, China.
Wenxiao WangThe Affiliated Hospital of Xuzhou Medical University, Department of Haematology, Institute of Blood Diseases, Key Laboratory of Bone-Marrow Stem Cells, Xuzhou 221000, China.
Mengchu JiThe Affiliated Hospital of Xuzhou Medical University, Department of Haematology, Institute of Blood Diseases, Key Laboratory of Bone-Marrow Stem Cells, Xuzhou 221000, China.
Fei LiClinical Medicine Research Center, Jiangsu Province (Suqian) Hospital, Suqian 223800, China.
Xiaofeng ShiThe Second Affiliated Hospital of Nanjing Medical University, The Second Clinical Medical School of Nanjing Medical University, Nanjing 210011, China.
Wei ChenThe Affiliated Hospital of Xuzhou Medical University, Department of Haematology, Institute of Blood Diseases, Key Laboratory of Bone-Marrow Stem Cells, Xuzhou 221000, China.ORCID 0000-0001-5480-6577

Funding

Jiangsu Province High-Level Hospital Construction Project LCZX202512, SHJDBF2024210, GSPJS202417, GSPJS202420, GSPJS202414National Natural Science Foundation of China 82341203the Medical Research Foundation of Jiangsu Provincial Health Commission M2024059
6 · The paper itself

Abstract

Myelofibrosis (MF) is a myeloproliferative neoplasm characterized by clonal hematopoietic dysregulation, amplification of chronic inflammation, and progressive remodeling of the bone marrow fibrotic niche, clinically manifesting as bone marrow failure, splenomegaly, and systemic inflammatory symptoms. Although Janus kinase (JAK) inhibitors can alleviate symptom burden and reduce spleen size, they have limited capacity to eradicate malignant clones or reverse fibrosis. Allogeneic hematopoietic stem cell transplantation remains the only potentially curative option; however, its application is constrained by advanced age, comorbidities, unavailable donor, and transplant-related risks. Therefore, the development of disease-modifying therapeutic strategies has become a central focus in MF research. Chimeric antigen receptor T (CAR-T)-cell therapy has demonstrated robust efficacy across various hematologic malignancies. Its application in MF holds the potential not only to selectively eliminate malignant hematopoietic clones but also to modulate the immunosuppressive and profibrotic microenvironment through advanced cellular engineering, thereby enabling a dual therapeutic paradigm involving both clonal control and microenvironmental reprogramming. In this context, potential targets and pathways include CD123, myeloproliferative leukemia protein (MPL), fibroblast activation protein (FAP), the TGF-β signaling axis, the CXCR4-CXCL12 niche-regulatory axis, and molecules associated with myeloid-derived suppressor cells (MDSCs) and tumor-associated macrophages (TAMs). Future strategies may optimize both efficacy and safety through combinatorial approaches, including integration with JAK inhibitors, development of armored CAR-T constructs, and bridging to hematopoietic stem cell transplantation. Collectively, CAR-T-cell therapy offers a promising avenue for shifting MF management from symptomatic control toward true disease modification.

Indexed as

chimeric antigen receptor T (CAR-T)-cell therapyclonal hematopoiesisfibrotic bone marrow nicheimmune microenvironment remodelingmyelofibrosis

Identifiers

PMID42122287
PMCPMC13162667

What OpenQuestion holds

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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.