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Stanford Study Links CAR-T Cancer Therapy to Reversible Cognitive Impairments

Research identifies microglial activation as the cause of 'brain fog' in CAR-T patients and demonstrates potential treatments in mice.

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Overview

  • Stanford Medicine researchers confirm that CAR-T cell therapy can independently cause mild cognitive impairments, known as 'brain fog.'
  • The impairments stem from microglial activation, which damages oligodendrocytes and myelin, disrupting brain function.
  • Mouse studies show that transient microglia depletion or chemokine receptor blockade can reverse these cognitive deficits.
  • Human postmortem brain tissue shows similar neuroimmune changes, supporting the findings from animal models.
  • The study highlights actionable therapeutic targets to mitigate cognitive side effects and improve quality of life for cancer survivors.