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Cancer immunotherapy

Deciphering the response to BCMA CAR T cell therapy

Despite the promise of chimeric antigen receptor (CAR) T cell therapy, predicting patient response is challenging. Single-cell multiomics of myeloma treated with B cell maturation antigen (BCMA)-targeted CAR T cells now reveal that poor clinical response is associated with an immunosuppressive environment and CAR T cells transition to exhausted phenotypes, indicating a mechanism for reduced persistence.

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Fig. 1: The host’s immune milieu leads to sub-optimal responses to BCMA-directed CAR T cell therapy.

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Correspondence to Marco L. Davila.

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Competing interests

M.L.D. receives consulting fees from Bristol Myers Squibb, Kite/Gilead, Synthekine, A2 Biotherapeutics and Adicet. M.L.D. has equity or options with Adicet, A2 Biotherapeutics and Adaptive Biotechnologies. H.H. declares no competing interests.

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Hassan, H., Davila, M.L. Deciphering the response to BCMA CAR T cell therapy. Nat Cancer 5, 1287–1288 (2024). https://doi.org/10.1038/s43018-024-00826-w

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