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Gone but not forgotten: CAR-NK cells leave a lasting mark on autoimmunity

Journal
Med (New York, N.Y.) (Q1)
Published
14 August 2026
Study design
Phase 1 (first-in-human) trial
Evidence level
Level 4, Very Low (CEBM 4)
Authors
Rejeena Shrestha, Rafet Basar
PMID
42600571
DOI
10.1016/j.medj.2026.101265

Why clinicians should know about it

  • Picked for Rheumatology (paper of the day, 18 August 2026): Phase I CAR‑NK trial, SLE safety

Abstract

In this phase 1 open-label trial, Zeng et al.1 show that umbilical cord blood-derived CD19 CAR NK-cell therapy is safe and effectively depletes autoreactive B cells in refractory systemic lupus erythematosus (SLE). Despite only transient CAR NK-cell persistence, patients experienced sustained clinical improvement and reconstitution of a predominantly naive B cell compartment, suggesting immune resetting rather than temporary immunosuppression.

Abstract as published, via PubMed.

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For healthcare professionals. The summary is generated by AI from the published abstract, and the evidence level is assigned automatically from the study design on the Oxford CEBM hierarchy. Neither is medical advice. Read the full paper before changing practice.