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CD4+ T-Cell Lymphoma Harboring a Chimeric Antigen Receptor Integration in TP53
CD4+ T-Cell Lymphoma Harboring a Chimeric Antigen Receptor Integration in TP53
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CD4+ T-Cell Lymphoma Harboring a Chimeric Antigen Receptor Integration in TP53
CD4+ T-Cell Lymphoma Harboring a Chimeric Antigen Receptor Integration in TP53

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CD4+ T-Cell Lymphoma Harboring a Chimeric Antigen Receptor Integration in TP53
CD4+ T-Cell Lymphoma Harboring a Chimeric Antigen Receptor Integration in TP53
Journal Article

CD4+ T-Cell Lymphoma Harboring a Chimeric Antigen Receptor Integration in TP53

2025
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Overview
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. A woman with multiply relapsed multiple myeloma had complete remission with cilta-cel, but a low-grade T-cell lymphoma soon developed in the GI tract that contained an insertion of the CAR construct disrupting expression of p53.