Evidence map›Paper›PMID 29847570›Full record

ArticlePloS one2018

Feasibility of controlling CD38-CAR T cell activity with a Tet-on inducible CAR design.

Esther Drent, Renée Poels, Manon J Mulders, Niels W C J van de Donk, Maria Themeli, Henk M Lokhorst, Tuna Mutis

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
3.6field-weighted citation impact, top 5% 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

52 citing papers in PubMed, 72 citations in OpenAlex.

  1. Review
  2. Genetic Code Expanded T Cell for Controllable Immunotherapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  3. Review
  4. Article
  5. Small-molecule control of CAR T cells.Nature reviews. Chemistry · 2025
    Review
  6. Engineering resilient CAR T cells for immunosuppressive environment.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  7. Novel strategies to manage CAR-T cell toxicity.Nature reviews. Drug discovery · 2025
    Review
  8. Review
  9. Myeloid cells meet CD8Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2024
    Article
  10. Review
  11. Article
  12. Challenges and new technologies in adoptive cell therapy.Journal of hematology & oncology · 2023
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
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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 1 institution in 1 country.

Esther DrentDepartment of Hematology, VU University Medical Center, De Boelelaan, Amsterdam, The Netherlands.ORCID 0000-0003-0140-9708
Renée PoelsDepartment of Hematology, VU University Medical Center, De Boelelaan, Amsterdam, The Netherlands.
Manon J MuldersDepartment of Hematology, VU University Medical Center, De Boelelaan, Amsterdam, The Netherlands.
Niels W C J van de DonkDepartment of Hematology, VU University Medical Center, De Boelelaan, Amsterdam, The Netherlands.
Maria ThemeliDepartment of Hematology, VU University Medical Center, De Boelelaan, Amsterdam, The Netherlands.
Henk M LokhorstDepartment of Hematology, VU University Medical Center, De Boelelaan, Amsterdam, The Netherlands.
Tuna MutisDepartment of Hematology, VU University Medical Center, De Boelelaan, Amsterdam, The Netherlands.
Amsterdam UMC Location Vrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent clinical advances with chimeric antigen receptor (CAR) T cells have led to the accelerated clinical approval of CD19-CARs to treat acute lymphoblastic leukemia. The CAR T cell therapy is nevertheless associated with toxicities, especially if the CARs are not entirely tumor-specific. Therefore, strategies for controlling the CAR T cell activity are required to improve their safety profile. Here, by using the multiple myeloma (MM)-associated CD38 molecule as target molecule, we tested the feasibility and utility of a doxycycline (DOX) inducible Tet-on CD38-CAR design to control the off-target toxicities of CAR T cells. Using CARs with high affinity to CD38, we demonstrate that this strategy allows the proper induction of CD38-CARs and CAR-mediated T cell cytotoxicity in a DOX-dose dependent manner. Especially when the DOX dose was limited to 10ng/ml, its removal resulted in a relatively rapid decay of CAR- related off-tumor effects within 24 hours, indicating the active controllability of undesired CAR activity. This Tet-on CAR design also allowed us to induce the maximal anti-MM cytotoxic activity of affinity-optimized CD38-CAR T cells, which already display a low toxicity profile, hereby adding a second level of safety to these cells. Collectively, these results indicate the possibility to utilize this DOX inducible CAR-design to actively regulate the CAR-mediated activities of therapeutic T cells. We therefore conclude that the Tet-on system may be more advantageous above suicide-genes to control the potential toxicities of CAR T cells without the need to destroy them permanently.

Indexed as

ADP-ribosyl Cyclase 1Bone MarrowCell DeathCells, CulturedDoxycyclineGenetic VectorsHumansLeukocytes, MononuclearMultiple MyelomaReceptors, Antigen, T-CellT-LymphocytesADP-ribosyl Cyclase 1DoxycyclineReceptors, Antigen, T-Cell

Identifiers

PMID29847570
PMCPMC5976165
OpenAlexW2806499269

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Registered trials

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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.