Evidence map›Paper›PMID 29563103›Full record

ArticleCancer discovery2018

Chimeric Antigen Receptor T Cell-Mediated Neurotoxicity in Nonhuman Primates.

Agne Taraseviciute, Victor Tkachev, Rafael Ponce, Cameron J Turtle, Jessica M Snyder, H Denny Liggitt, David Myerson, Luis Gonzalez-Cuyar, Audrey Baldessari, Chris English and 13 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer discovery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 2 pooled it
12.4field-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

133 citing papers in PubMed, 2 syntheses or guidelines pooled it, 249 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. mRNA medicine for cardiovascular disease.Nature cardiovascular research · 2026
    Review
  9. Immunogenicity of Gene and Cell Therapies.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. CAR-T Cell Therapy for Central Nervous System Tumors.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

73 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

23 authors at 5 institutions in 1 country.

Agne TaraseviciuteThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.
Victor TkachevThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.
Rafael PonceJuno Therapeutics, Seattle, Washington.
Cameron J TurtleThe Fred Hutchinson Cancer Research Center, Seattle, Washington.
Jessica M SnyderDeparment of Comparative Medicine, University of Washington, Seattle, Washington.
H Denny LiggittDeparment of Comparative Medicine, University of Washington, Seattle, Washington.
David MyersonThe Fred Hutchinson Cancer Research Center, Seattle, Washington.
Luis Gonzalez-CuyarDepartment of Pathology, University of Washington, Seattle, Washington.ORCID 0000-0002-8424-8331
Audrey BaldessariWashington National Primate Research Center, University of Washington, Seattle, Washington.
Chris EnglishWashington National Primate Research Center, University of Washington, Seattle, Washington.
Alison YuThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.
Hengqi ZhengThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0003-0575-6475
Scott N FurlanThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.
Daniel J HuntThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.
Virginia HoglundThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.
Olivia FinneyThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.
Hannah BrakkeThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.
Bruce R BlazarDepartment of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
Carolina BergerThe Fred Hutchinson Cancer Research Center, Seattle, Washington.
Stanley R RiddellThe Fred Hutchinson Cancer Research Center, Seattle, Washington.
Rebecca GardnerThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.
Leslie S KeanThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington. michael.jensen@seattlechildrens.org Leslie.kean@seattlechildrens.org.
Michael C JensenThe Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington. michael.jensen@seattlechildrens.org Leslie.kean@seattlechildrens.org.
University of Washington · USSeattle Children's Hospital · USFred Hutch Cancer Center · USInternational Therapeutics (United States) · USUniversity of Minnesota · US

Funding

Transplant Tolerance in Non-Human PrimatesU19AI051731 · NIAID · UNIVERSITY OF WESTERN ONTARIO · PI LARSEN, CHRISTIAN P. · 2002 to 2022
$54.1M
Trial Design and Biostatistical Support CoreP01CA065493 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Mark J Osborn · 1995 to 2026
$48.2M
BELIEVE: Bench to Bed Enhanced Lymphocyte Infusions to Engineer Viral EradicationUM1AI126617 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI JONES, R. BRAD, NIXON, DOUGLAS F · 2016 to 2020
$28.1M
Novel Biologic Therapies for GVHDR01HL095791 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI KEAN, LESLIE S · 2010 to 2025
$13.3M
PEDIATRIC ONCOLOGY RESEARCH TRAINING PROGRAMT32CA009351 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Elizabeth R Lawlor, SOHEIL MESHINCHI · 1985 to 2026
$7.0M
Enhancing Treg Therapeutic Efficacy in GVHDR01HL118979 · NHLBI · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, HIPPEN, KELI L · 2014 to 2025
$6.7M
Targeted therapy of B cell malignances with CAR-T cells of defined compositionR01CA136551 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI JENSEN, MICHAEL C, RIDDELL, STANLEY R. · 2009 to 2018
$5.5M
GVL TO REDUCE AML RELAPSE AFTER MURINE ALLOGENEIC BMTR01CA072669 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1997 to 2017
$4.9M
Curing HIV Through Allogeneic Hematopoietic Stem Cell Transplantation -- (KEAN)R33AI116184 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI KEAN, LESLIE S · 2016 to 2018
$1.6M
NCI NIH HHS P01 CA065493NCI NIH HHS R01 CA072669NCI NIH HHS R01 CA136551NCI NIH HHS T32 CA009351NHLBI NIH HHS R01 HL095791NHLBI NIH HHS R01 HL118979NIAID NIH HHS R33 AI116184NIAID NIH HHS U19 AI051731NIAID NIH HHS UM1 AI126617
6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T-cell immunotherapy has revolutionized the treatment of refractory leukemias and lymphomas, but is associated with significant toxicities, namely cytokine release syndrome (CRS) and neurotoxicity. A major barrier to developing therapeutics to prevent CAR T cell-mediated neurotoxicity is the lack of clinically relevant models. Accordingly, we developed a rhesus macaque (RM) model of neurotoxicity via adoptive transfer of autologous CD20-specific CAR T cells. Following cyclophosphamide lymphodepletion, CD20 CAR T cells expand to 272 to 4,450 cells/μL after 7 to 8 days and elicit CRS and neurotoxicity. Toxicities are associated with elevated serum IL6, IL8, IL1RA, MIG, and I-TAC levels, and disproportionately high cerebrospinal fluid (CSF) IL6, IL2, GM-CSF, and VEGF levels. During neurotoxicity, both CD20 CAR and non-CAR T cells accumulate in the CSF and in the brain parenchyma. This RM model demonstrates that CAR T cell-mediated neurotoxicity is associated with proinflammatory CSF cytokines and a pan-T cell encephalitis.

Indexed as

AnimalsAntigens, CD20Cell Line, TumorCyclophosphamideDisease Models, AnimalHumansImmunotherapy, AdoptiveK562 CellsMacaca mulattaNeurotoxicity SyndromesReceptors, Antigen, T-CellTransplantation, AutologousAntigens, CD20CyclophosphamideReceptors, Antigen, T-Cell

Identifiers

PMID29563103
PMCPMC6058704
OpenAlexW2791660181

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.