Treatment of two pediatric patients with refractory systemic lupus erythematosus using CD19-targeted CAR T-cells

Autoimmun Rev. 2025 Jan 3;24(1):103692. doi: 10.1016/j.autrev.2024.103692. Epub 2024 Nov 17.

Abstract

Chimeric antigen receptor (CAR) T-cell therapy has emerged as a promising strategy for treating autoimmune diseases, particularly in systemic lupus erythematosus (SLE). However, CAR T-cell therapy for pediatric patients with SLE remains unexplored. Herein, we present a compelling investigation of two pediatric patients with refractory SLE who underwent infusion of CD19-targeted CAR T-cells. Patients 1 and 2 tolerated the CAR T-cell therapy well, which demonstrated remarkable efficacy after five and four months, respectively.

Keywords: Autoimmune disorders; Chimeric antigen receptor; Lupus nephritis; Pediatrics; Systemic lupus erythematosus.

Publication types

  • Case Reports
  • Letter
  • Case Reports
  • Letter

MeSH terms

  • Antigens, CD19* / immunology
  • Antigens, CD19* / metabolism
  • Child
  • Female
  • Humans
  • Immunotherapy, Adoptive* / adverse effects
  • Immunotherapy, Adoptive* / methods
  • Lupus Erythematosus, Systemic* / immunology
  • Lupus Erythematosus, Systemic* / therapy
  • Receptors, Chimeric Antigen* / immunology
  • Treatment Outcome

Substances

  • CD19 molecule, human
  • Antigens, CD19
  • Receptors, Chimeric Antigen