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In vivo CAR T cell engineering: design principles and open questions - PubMed

5 hours ago
  • #in vivo CAR T engineering
  • #gene therapy
  • #cancer immunotherapy
  • CAR T cell therapy has significantly advanced hematologic malignancy treatment, with seven FDA-approved products.
  • Widespread adoption is limited by high costs and complex manufacturing and administration processes.
  • In vivo methods to directly reprogram T cells within patients aim to improve potency, reduce costs, and increase accessibility.
  • Early clinical studies show safety and therapeutic potential, but questions remain about long-term efficacy and optimal disease indications.
  • This review covers viral and nonviral approaches, their opportunities, limitations, and key unresolved questions in the field.