Evidence map›Paper›PMID 30740109›Full record

ReviewFrontiers in immunology2018

Genetically Engineered T-Cells for Malignant Glioma: Overcoming the Barriers to Effective Immunotherapy.

Pavlina Chuntova, Kira M Downey, Bindu Hegde, Neil D Almeida, Hideho Okada

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
–field-weighted citation impact
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

41 citing papers in PubMed.

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  19. Targeting of the alphaJournal for immunotherapy of cancer · 2022
    Article
  20. IFN-γ enhances the antitumor activity of attenuatedFrontiers in bioengineering and biotechnology · 2022
    Article
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

5 authors.

Pavlina ChuntovaDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA, United States.
Kira M DowneyDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA, United States.
Bindu HegdeDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA, United States.
Neil D AlmeidaDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA, United States.
Hideho OkadaDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA, United States.

Funding

Preclinical development of breakthrough immunotherapy for brain tumorsR35NS105068 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI OKADA, HIDEHO · 2018 to 2025
$6.0M
NINDS NIH HHS R35 NS105068
6 · The paper itself

Abstract

Malignant gliomas carry a dismal prognosis. Conventional treatment using chemo- and radiotherapy has limited efficacy with adverse events. Therapy with genetically engineered T-cells, such as chimeric antigen receptor (CAR) T-cells, may represent a promising approach to improve patient outcomes owing to their potential ability to attack highly infiltrative tumors in a tumor-specific manner and possible persistence of the adaptive immune response. However, the unique anatomical features of the brain and susceptibility of this organ to irreversible tissue damage have made immunotherapy especially challenging in the setting of glioma. With safety concerns in mind, multiple teams have initiated clinical trials using CAR T-cells in glioma patients. The valuable lessons learnt from those trials highlight critical areas for further improvement: tackling the issues of the antigen presentation and T-cell homing in the brain, immunosuppression in the glioma microenvironment, antigen heterogeneity and off-tumor toxicity, and the adaptation of existing clinical therapies to reflect the intricacies of immune response in the brain. This review summarizes the up-to-date clinical outcomes of CAR T-cell clinical trials in glioma patients and examines the most pressing hurdles limiting the efficacy of these therapies. Furthermore, this review uses these hurdles as a framework upon which to evaluate cutting-edge pre-clinical strategies aiming to overcome those barriers.

Indexed as

Antigens, NeoplasmBlood-Brain BarrierBrain NeoplasmsClinical Trials as TopicGenetic EngineeringGliomaHumansImmunotherapy, AdoptiveReceptors, Chimeric AntigenT-LymphocytesTreatment OutcomeTumor EscapeAntigens, NeoplasmReceptors, Chimeric Antigenbrain cancerCAR (chimeric antigen receptor) T cellsGlioblastomaGliomaTCR - T cell receptorT lymphocyte

Identifiers

PMID30740109
PMCPMC6357938

What OpenQuestion holds

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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.