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. 2021 Oct 6;12:744823. doi: 10.3389/fimmu.2021.744823

Table 1.

The comparison of autologous and allogeneic CAR-T cell therapy.

Autologous CAR-T cell therapy Universal CAR-T cell therapy
Consistency
Killing mechanism MHC-independent
Gene editing to avoid fratricide Carried out if needed
Manufacturing process T lymphocytes are isolated and transduced with a specific CAR by viral vector, then refused to the patient after amplification
Difference
Cell source Patients themselves Healthy donors
Activation of the immune system in patients Hardly Possible
Manufacturing Line Customized Batched
Additional Gene Editing to avoid GVHD and rejection Unnecessary Necessary
Cost High Much lower
Immediate availability No Yes
Application in T-cell malignancies Restricted Promising
Main risks CRS;CRES CRS;CRES;GVHD
Limitations Suboptimal quantity and quality of T cells in patients Lower amplification and shorter persistence in vivo

CAR, chimeric antigen receptor; CRS, cytokine release syndrome; CRES, CAR-T cell-associated encephalopathy syndrome; GVHD, graft versus host disease.