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Stanford Study Uncovers Reversible Brain Fog Caused by CAR-T Cell Therapy

Research identifies neuroimmune mechanisms and potential treatments for cognitive impairments linked to cancer immunotherapy.

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Overview

  • CAR-T cell therapy, a groundbreaking cancer treatment, has been shown to independently cause mild cognitive impairments, or 'brain fog,' through microglial activation and myelin damage.
  • Stanford researchers demonstrated that transient depletion of microglia or blocking chemokine signaling can reverse cognitive deficits in mouse models, paving the way for future clinical applications.
  • Postmortem analyses of human brain tissue from CAR-T trial participants confirmed similar neuroimmune dysregulation observed in animal studies, strengthening the findings' translational relevance.
  • The study highlights shared neuroimmune pathways between CAR-T therapy, chemotherapy, and infections, emphasizing the need to address cognitive health in cancer survivors.
  • CAR-T therapy, first approved in 2017 for leukemia, has achieved long-term cancer remissions, underscoring the importance of mitigating its impact on patients' quality of life.