Evidence map›Paper›PMID 27849169›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2016

Mechanisms of Acute Toxicity in NKG2D Chimeric Antigen Receptor T Cell-Treated Mice.

Marie-Louise Sentman, Joana M Murad, W James Cook, Ming-Ru Wu, Jake Reder, Susanne H Baumeister, Glenn Dranoff, Michael W Fanger, Charles L Sentman

Open access · bronzeAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 59 citations in OpenAlex.

  1. Review
  2. Article
  3. Novel strategies to manage CAR-T cell toxicity.Nature reviews. Drug discovery · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. TCR engineered T cells for solid tumor immunotherapy.Experimental hematology & oncology · 2022
    Review
  9. Review
  10. Effector memory CD4Science immunology · 2022
    Article
  11. Article
  12. Article
  13. Frontiers in oncology · 2022
    Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Marie-Louise SentmanCenter for Synthetic Immunity and the Department of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756.
Joana M MuradCeldara Medical, LLC, Lebanon, NH 03766.
W James CookCenter for Synthetic Immunity and the Department of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756.
Ming-Ru WuCenter for Synthetic Immunity and the Department of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756.
Jake RederCeldara Medical, LLC, Lebanon, NH 03766.ORCID 0000-0002-7975-9874
Susanne H BaumeisterDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215.ORCID 0000-0003-3846-5156
Glenn DranoffDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215.
Michael W FangerCeldara Medical, LLC, Lebanon, NH 03766.
Charles L SentmanCenter for Synthetic Immunity and the Department of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Lebanon, NH 03756; charles.sentman@dartmouth.edu.
Dartmouth College · USCeldara Medical (United States) · USBoston Children's Hospital · USDana-Farber Cancer Institute · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
Center for Molecular, Cellular, and Translational ImmunologyP30GM103415 · NIGMS · DARTMOUTH COLLEGE · PI GREEN, WILLIAM R · 2012 to 2015
$4.7M
ChNKG2D-Targeted Cellular Cancer Therapy: Phase I Clinical TrialR44HL099217 · NHLBI · CELDARA MEDICAL, LLC · PI FANGER, MICHAEL W · 2012 to 2013
$3.2M
NCI NIH HHS P30 CA023108NHLBI NIH HHS R44 HL099217NIGMS NIH HHS P30 GM103415
6 · The paper itself

Abstract

Targeting cancer through the use of effector T cells bearing chimeric Ag receptors (CARs) leads to elimination of tumors in animals and patients, but recognition of normal cells or excessive activation can result in significant toxicity and even death. CAR T cells based on modified NKG2D receptors are effective against many types of tumors, and their efficacy is mediated through direct cytotoxicity and cytokine production. Under certain conditions, their ligands can be expressed on nontumor cells, so a better understanding of the potential off-tumor activity of these NKG2D CAR T cells is needed. Injection of very high numbers of activated T cells expressing CARs based on murine NKG2D or DNAM1 resulted in increased serum cytokines (IFN-γ, IL-6, and MCP-1) and acute toxicity similar to cytokine release syndrome. Acute toxicity required two key effector molecules in CAR T cells-perforin and GM-CSF. Host immune cells also contributed to this toxicity, and mice with severe immune cell defects remained healthy at the highest CAR T cell dose. These data demonstrate that specific CAR T cell effector mechanisms and the host immune system are required for this cytokine release-like syndrome in murine models.

Indexed as

AnimalsCancer VaccinesCD3 ComplexCell Line, TumorCytotoxicity, ImmunologicGranulocyte-Macrophage Colony-Stimulating FactorHumansImmunotherapy, AdoptiveLymphocyte ActivationLymphoma, T-CellMiceMice, Inbred C57BLMice, KnockoutNeoplasms, ExperimentalNK Cell Lectin-Like Receptor Subfamily KPerforinCancer VaccinesCD3 ComplexCd3e protein, mouseGranulocyte-Macrophage Colony-Stimulating FactorKlrk1 protein, mouseNK Cell Lectin-Like Receptor Subfamily KPerforinRecombinant Fusion Proteins

Identifiers

PMID27849169
PMCPMC5136298
OpenAlexW2559594954

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.