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Chimeric antigen receptor therapy or CAR T-cell therapy is an emerging
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immunotherapy designed specifically to target a patient's cancer cells. To date,
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the most successful of these therapies CD19 CAR therapy targets B cells in
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Leukemia and Lymphoma. A patient begins treatment by undergoing apheresis to
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extract normal T-cells. In the laboratory, a modified virus either a lentivirus or
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retrovirus transfers targeted genetic information into the T-cells where it is
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incorporated into the genome. Newly synthesized CD19 CAR proteins are then
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expressed on the T-cells surface. The altered T-cells are expanded in vitro
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and delivered to the patient by infusion. In the body, the engineered receptors
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bind to specific antigens expressed by the target cancer cells, killing them.
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With hundreds of trials currently being conducted worldwide, engineered cell
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therapies like CAR T-cell therapy have the potential to transform treatment for
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cancer and other diseases.