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August 9, 2026Blood AdvancesOpen Access

Chronic xenogeneic GVHD after CAR T cell therapy limits long-term safety assessment of CAR effects using NSG mouse model

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Authors

WFWahed A. FirozMSMichael K. ShengPRPedro Ruivo

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Overview

Randomized trial demonstrates chronic xenogeneic GVHD impacts CAR T efficacy assessment in NSG mouse models, indicating a need for caution in interpretation.

Key Points

  • This research examines the long-term effects of CAR T cell therapy in xenogeneic mouse models, focusing on xenogeneic graft-versus-host disease (xenoGVHD).
  • Altered donor T cells to memory phenotypes for CAR T generation to assess xenoGVHD effects.
  • Utilized MHCI/II double-knockout NSG mice to confirm the xenoGVHD pathology was mediated by human TCR murine MHC interactions.
  • Monitored CAR T cell populations and xenoGVHD outcomes over extended post-transfer periods.
  • A significant delay in lethal xenoGVHD occurrence was observed, with up to 200 days post-transfer for some donor T cells.
  • Chronic xenoGVHD was characterized by scleroderma and multi-organ pathology occurring without the presence of B cells.
  • Emergence of CAR-negative T cell populations during xenoGVHD responses was noted, indicating alterations in T cell dynamics.

Cite This Study

Firoz et al. (2026) studied this question.

synapsesocial.com/papers/6a782d962e1896536c840dedhttps://doi.org/10.1182/bloodadvances.2025019559
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Characterization of host immune cell infiltrate in human CAR T cell-mediated xenogeneic graft versus host disease in NSG mice2025
  2. 2In Vivo clonal dynamics of alloreactive CAR T cells reveal mechanisms limiting gvhd risk following allogeneic CAR T cell therapy2025
  3. 3Sclerotic chronic cutaneous graft-versus-host-disease following pseudoallogeneic chimeric antigen receptor T-cell therapy2024
  4. 4Enhancing Graft-versus-Leukemia Responses by donor-derived CAR-modified CD8+ Memory Stem T cells2026
  5. 5Abstract 2166: Robust <i>in vivo</i> CAR-T efficacy evaluation in a PBMC-reconstituted NCG-MHC-dKO model with delayed GVHD.2026