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Chimeric Antigen Receptor (CAR) T-Cell Therapy

CAR T-cell therapy is a type of cancer treatment, first approved for use in Australia in 2018. It helps your own immune system find and destroy cancer cells more easily.

Let’s break it down:

  • CAR stands for Chimeric Antigen Receptor. A CAR is a special, man-made protein designed to recognise and stick to another receptor called CD19 on your lymphoma cells.
  • T-cells are a type of white blood cell in our body that help fight infections and cancer.

In CAR T-cell therapy, your T-cells are removed from your blood and sent to a lab where a scientist adds a CAR to them. This is why they are called CAR T-cells.

The CAR T-cells are then sent back to the hospital and infused back into your blood in a procedure like a blood transfusion. They then move into your lymphatic system and travel around your body, the CAR finds and sticks to the lymphoma cells, and the T-cell destroys them.

How Does Lymphoma Affect Your Immune System?

Our immune system protects us from infections and diseases, including cancers like lymphoma. It has special cells called white blood cells. These cells move through our blood and lymphatic system to every part of our body, finding and destroying things that don’t belong – like germs or cancer cells.

We have different types of white blood cells, each with a different job, but all protect us from infection and disease. Some of these are called lymphocytes. It is these white blood cells – the lymphocytes, that become cancerous in lymphoma.

Lymphocytes are also very important in CAR T-cell therapy because the T-cells are a type of lymphocyte.

Function of lymphocytes

  • B-cells: Make antibodies to help fight germs.
  • T-cells: Help find and kill infected, damaged or cancer cells. T-cells also help other immune cells work more effectively, and regulates the immune system so that it works as it should.
  • Natural Killer (NK) cells: Kill cancer cells and virus-infected cells.

Sometimes, lymphocytes cells stop working properly. They can grow too fast and live longer than they should. When this happens, it can lead to lymphoma, which is a type of cancer.

Lymphoma cells can also trick the immune system. They may hide from it or stop it from working well. That’s when special treatments like CAR T-cell therapy can help.

For a more detailed explanation of how our lymphatic & immune systems work together to protect us see Understanding your lymphatic & immune systems – Lymphoma Australia.

How is Lymphoma Usually Treated?

Lymphoma is often treated with chemotherapy or radiation. These treatments kill fast-growing cells, including lymphoma. But they can also harm healthy cells that grow quickly, like those in your mouth, or stomach and your hair.

Another kind of treatment is called immunotherapy. It helps your immune system find and destroy cancer cells without harming as many healthy ones. CAR T-cell therapy is a type of immunotherapy. Watch the 3-minute video below for an explanation of how CAR T-cells are made and work.

Click thumbnail to watch video

Patient stories

Image of Lymphoma patient standing at paddock fence with her dog by her side. Two horses can be seen in the distance

Chantelle’s Story: PMBCL

Tahli’s Story: Non Hodgkin Large B Cell Lymphoma

Kerri’s Story: Burkitt Lymphoma

Kim’s story – DLBCL & CAR T-cell therapy

Support and information

Special Note: Although your T-cells are removed from your blood for CAR T-cell therapy, most of our T-cells live outside of our blood – in our lymph nodes, thymus, spleen and other organs.

You need healthy T-cells to make CAR T-cells. For this reason, CAR T-cell therapy cannot be used if you have a T-cell lymphoma – yet.

For more information on CAR T-cells and T-cell lymphoma click here. 

Contact Lymphoma Australia Today!

Please note: Lymphoma Australia staff are only able to reply to emails sent in English language.

For people living in Australia, we can offer a phone translation service. Have your nurse or English speaking relative call us to arrange this.

Useful Definitions

  • Refractory: This means the lymphoma does not get better with treatment. The treatment didn’t work as hoped.
  • Relapsed: This means the lymphoma came back after being gone for a while after treatment.
  • 2nd line treatment: This is the second treatment you get if the first one didn’t work (refractory) or if the lymphoma comes back (relapse).
  • 3rd line treatment: This is the third treatment you get if the second one didn’t work or the lymphoma comes back again.
  • Approved: Available in Australia and listed by the Therapeutics Goods Administration (TGA).
  • Funded: Costs are covered for Australian citizens. This means if you have a Medicare card, you shouldn’t have to pay for the treatment.[WO7]