CD4+ T-cell lymphoma harboring a chimeric antigen receptor integration in TP53 Journal Article


Authors: Perica, K.; Jain, N.; Scordo, M.; Patel, R.; Eren, O. C.; Patel, U.; Gundem, G.; Domenico, D.; Mitra, S.; Socci, N. D.; Everett, J. K.; Roche, A. M.; Petrichenko, A.; Shah, G. L.; Arcila, M. E.; Borsu, L.; Park, J. H.; Horwitz, S. M.; Giralt, S. A.; Dogan, A.; Leslie, C.; Papaemmanuil, E.; Bushman, F. D.; Usmani, S. Z.; Sadelain, M.; Mailankody, S.
Article Title: CD4+ T-cell lymphoma harboring a chimeric antigen receptor integration in TP53
Abstract: Malignant T-cell transformation after chimeric antigen receptor (CAR) T-cell therapy has been described, but the contribution of CAR integration to oncogenesis is not clear. Here we report a case of a T-cell lymphoma harboring a lentiviral integration in a known tumor suppressor, TP53, which developed in a patient with multiple myeloma after B-cell maturation antigen (BCMA) CAR T-cell therapy. Copyright © 2025 Massachusetts Medical Society.
Keywords: middle aged; genetics; case report; multiple myeloma; protein p53; t cell lymphoma; lymphoma, t-cell; immunology; cd4+ t lymphocyte; cd4-positive t-lymphocytes; lentivirus; tumor suppressor protein p53; chimeric antigen receptor; tp53 protein, human; therapy; adoptive immunotherapy; immunotherapy, adoptive; humans; human; male; b cell maturation antigen; b-cell maturation antigen; receptors, chimeric antigen
Journal Title: New England Journal of Medicine
Volume: 392
Issue: 6
ISSN: 0028-4793
Publisher: Massachusetts Medical Society  
Date Published: 2025-02-06
Start Page: 577
End Page: 583
Language: English
DOI: 10.1056/NEJMoa2411507
PUBMED: 39908432
PROVIDER: scopus
PMCID: PMC11801235
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PubMed record and PDF. Corresponding MSK author is Sham Mailankody -- Source: Scopus
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MSK Authors
  1. Sergio Andres Giralt
    1068 Giralt
  2. Steven M Horwitz
    667 Horwitz
  3. Jae Hong Park
    377 Park
  4. Michel W J Sadelain
    587 Sadelain
  5. Nicholas D Socci
    266 Socci
  6. Christina Leslie
    192 Leslie
  7. Maria Eugenia Arcila
    669 Arcila
  8. Michael Scordo
    387 Scordo
  9. Ahmet Dogan
    469 Dogan
  10. Gunjan Lalitchandra Shah
    446 Shah
  11. Gunes Gundem
    57 Gundem
  12. Karlo Perica
    20 Perica
  13. Ruchi Patel
    4 Patel
  14. Utsav Patel
    6 Patel
  15. Nayan Jain
    10 Jain
  16. Saad Zafar Usmani
    335 Usmani
  17. Sneha Mitra
    6 Mitra
  18. Ozgur Can Eren
    10 Eren