Evidence map›Paper›PMID 42792667›Full record

ReviewBiomedicines2026

From Delivery to Design: Site-Specific Genome Engineering for Next-Generation CAR T-Cell Therapy.

Hala Aldahshan, Abeer Al-Hubaysh, Dimah K Alrabiah, Meshael Alturki, Reem R Alkharji, Salwa Lin, Mohammed S Aldughaim, Raef Albugami

Abstract readReview
In one paragraph

Review in Biomedicines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Hala AldahshanDepartment of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Saud University, Riyadh 12372, Saudi Arabia.ORCID 0009-0006-8735-745X
Abeer Al-HubayshDepartment of Biology, College of Science, Princess Nourah bint Abdulrahman University, Riyadh 11671, Saudi Arabia.ORCID 0000-0002-6463-1317
Dimah K AlrabiahWellness and Preventive Medicine Institute, Health Sector, King Abdulaziz City for Science and Technology (KACST), Riyadh 11442, Saudi Arabia.
Meshael AlturkiWellness and Preventive Medicine Institute, Health Sector, King Abdulaziz City for Science and Technology (KACST), Riyadh 11442, Saudi Arabia.
Reem R AlkharjiResearch Department, Natural and Health Science Research Centre, Princess Nourah bint Abdulrahman University, Riyadh 11564, Saudi Arabia.ORCID 0000-0003-0915-8595
Salwa LinDepartment of Clinical Laboratory Sciences, Taif University, Taif 26521, Saudi Arabia.
Mohammed S AldughaimMinistry of Industry and Mineral Resources, King Fahd Street, Al-Muhammadiyah District, Riyadh 12363, Saudi Arabia.
Raef AlbugamiPathology and Clinical Laboratory Administration, Riyadh Second Healthcare Cluster-KFMC, Riyadh 12231, Saudi Arabia.

Funding

Research Center at King Fahad Medical City (RCKFMC)Riyadh Second Health Cluster NA
6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T-cell therapy has transformed the treatment of haematological malignancies, but conventional viral transduction results in semi-random genomic integration, contributing to heterogeneous CAR expression and potential insertional effects. Site-specific genome engineering offers an alternative by directing CAR insertion to defined genomic loci, allowing greater control over transgene expression and cellular function. This narrative review evaluates advances in site-specific CAR T-cell engineering, focusing on integration mechanisms, donor platforms, genomic loci, safety, and translational readiness. Homology-directed repair (HDR) and homology-independent targeted integration (HITI) are critically compared alongside viral and non-viral donor systems. Candidate loci are evaluated according to their functional consequences and level of evidence, with

Indexed as

CAR-T cell therapyCRISPR/Cas9genomic safe harbourHITIhomology-directed repairimmune cell engineeringnon-viral manufacturingsite-specific genome engineeringtargeted CAR integrationTRAC locus

Identifiers

PMID42792667
PMCPMC13604048

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.