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December 8, 2025BloodOpen Access

Enhanced VLA4-dependent endothelial cell adhesion underpins the higher efficacy of CAR-iNKT over CAR-T cells in limiting leptomeningeal acute leukemia

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Authors

KKKlesti KaraxhukuBLBryan LyeCHChristina Halsey

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Overview

Observational analysis showed CAR-iNKT cells have superior cytotoxic activity against leukemia in vivo, suggesting enhanced VLA-4-mediated adhesion may improve immunotherapy outcomes.

Key Points

  • CAR-iNKT cells significantly reduce leukemia burden in the leptomeningeal space compared to CAR-T cells.
  • Treatment with CAR-iNKT cells decreased leukemia in bone marrow and meninges at 48 hours post-treatment.
  • Analysis of adhesion capacity demonstrated higher VLA-4 activity in CAR-iNKT cells over CAR-T cells under shear stress conditions.
  • These findings highlight the importance of VLA-4 in cellular adhesion and trafficking during leukemia therapy.

Cite This Study

Karaxhuku et al. (2025) studied this question.

synapsesocial.com/papers/69362f604fa91c937236dd32https://doi.org/10.1182/blood-2025-262
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