
As a revolutionary technology selected among the “Top 10 Global Engineering Achievements of 2024,” CAR-T therapy marks the arrival of the cellular therapy era and brings transformative possibilities to the treatment of cancer and major diseases. During the 2025 International Conference on Cellular and Immune Therapy, a deep dialogue between Prof. Pei Shanshan from Liangzhu Laboratory and the First Affiliated Hospital of Zhejiang University School of Medicine, and Prof. Michel Sadelain, a founding pioneer in the CAR-T field and Director of the Columbia Initiative in Cell Engineering and Therapy (CICET), offered a panoramic exploration of this frontier field. From the pioneering conceptual origins of cellular therapy, to the precise selection of the CD19 target, to more than two decades of persistence behind clinical breakthroughs, and further to the expansion toward autoimmune diseases, the dialogue advanced step by step. It revisited the evolution of the technology from “an impossible idea” to clinical success, directly addressed core challenges such as cancer heterogeneity and treatment cost, and looked ahead to next-generation technologies such as in vivo CAR-T. Hematology Frontier – Blood News hascompiled the full content to present a systematic overview of the past, present, and future of CAR-T therapy.