Evidence map›Paper›PMID 28506444›Full record

ArticleCytotherapy2017

Monocyte lineage-derived IL-6 does not affect chimeric antigen receptor T-cell function.

Nathan Singh, Ted J Hofmann, Zachary Gershenson, Bruce L Levine, Stephan A Grupp, David T Teachey, David M Barrett

Abstract read
In one paragraph

Article in Cytotherapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
8.9field-weighted citation impact, top 1% 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

89 citing papers in PubMed, 155 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. AnFrontiers in cellular and infection microbiology · 2026
    Article
  6. Novel strategies to manage CAR-T cell toxicity.Nature reviews. Drug discovery · 2025
    Review
  7. Deep insight into cytokine storm: from pathogenesis to treatment.Signal transduction and targeted therapy · 2025
    Review
  8. Review
  9. Review
  10. Article
  11. Toxicities Associated with CAR-T Cell Therapies.Mediterranean journal of hematology and infectious diseases · 2025
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. IL-6 Blockade in Cytokine Storm Syndromes.Advances in experimental medicine and biology · 2024
    Review
  19. Activated CD4Internal medicine (Tokyo, Japan) · 2024
    Article
  20. Review

29 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 1 country.

Nathan SinghDivision of Hematology and Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. Electronic address: nathan.singh@uphs.upenn.edu.
Ted J HofmannDivision of Oncology, Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania, USA.
Zachary GershensonDepartment of Cellular and Molecular Biology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Bruce L LevineDepartment of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Stephan A GruppDivision of Oncology, Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania, USA; Department of Pathology, Children's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
David T TeacheyDivision of Oncology, Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania, USA.
David M BarrettDivision of Oncology, Department of Pediatrics, Children's Hospital of Philadelphia, Pennsylvania, USA.
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

Project 3: Combinatorial and gene-editing approaches to enhance the efficacy of CAR T cell therapy of multiple myeloma.P01CA214278 · NCI · UNIVERSITY OF PENNSYLVANIA · PI CARL H. JUNE · 2017 to 2026
$26.8M
NCI NIH HHS P01 CA214278
6 · The paper itself

Abstract

BACKGROUND

aimsChimeric antigen receptor (CAR) T-cell therapy targeting CD19 has demonstrated remarkable success in targeting B-cell malignancies but is often complicated by serious systemic toxicity in the form of cytokine release syndrome (CRS). CRS symptoms are primarily mediated by interleukin 6 (IL-6), and clinical management has focused on inhibition of IL-6 signaling. The cellular source and function of IL-6 in CRS remain unknown.

methodsUsing co-culture assays and data from patients on our clinical CAR T-cell trials, we investigated the cellular source of IL-6, as well as other CRS-associated cytokines, during CAR T-cell activation. We also explored the effect that IL-6 has on T-cell function.

resultsWe demonstrated that IL-6 is secreted by monocyte-lineage cells in response to CAR T-cell activation in a contact-independent mechanism upon T-cell engagement of target leukemia. We observed that the presence of antigen-presenting cell-derived IL-6 has no impact on CAR T-cell transcriptional profiles or cytotoxicity. Finally, we confirm that CAR T cells do not secrete IL-6 in vivo during clinical CRS. DISCUSSION: These findings suggest that IL-6 blockade will not affect CD19 CAR T-cell-driven anti-leukemic cytotoxicity, permitting enhanced control of CRS while maintaining CAR T-cell efficacy.

Indexed as

AnimalsAntigen-Presenting CellsAntigens, CD19Cell LineageCoculture TechniquesCytokinesHumansInterleukin-6Lymphocyte ActivationMice, Inbred NODMonocytesReceptors, Antigen, T-CellRecombinant ProteinsT-LymphocytesXenograft Model Antitumor AssaysAntigens, CD19CD19 molecule, humanCD19-specific chimeric antigen receptorCytokinesIL6 protein, humanInterleukin-6Receptors, Antigen, T-CellRecombinant Proteinschimeric antigen receptorcytokine release syndromeinterleukin 6

Identifiers

PMID28506444
PMCPMC6676485
OpenAlexW2612001965

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.