Evidence map›Paper›PMID 30979735›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2019

Combined CD28 and 4-1BB Costimulation Potentiates Affinity-tuned Chimeric Antigen Receptor-engineered T Cells.

Esther Drent, Renée Poels, Ruud Ruiter, Niels W C J van de Donk, Sonja Zweegman, Huipin Yuan, Joost de Bruijn, Michel Sadelain, Henk M Lokhorst, Richard W J Groen and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 123 papers.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed
9.5field-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

123 citing papers in PubMed, 173 citations in OpenAlex.

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  19. Genes & diseases · 2025
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63 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

12 authors at 4 institutions in 4 countries.

Esther DrentDepartment of Haematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Location VUmc, Amsterdam, the Netherlands.
Renée PoelsDepartment of Haematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Location VUmc, Amsterdam, the Netherlands.
Ruud RuiterDepartment of Haematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Location VUmc, Amsterdam, the Netherlands.
Niels W C J van de DonkDepartment of Haematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Location VUmc, Amsterdam, the Netherlands.
Sonja ZweegmanDepartment of Haematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Location VUmc, Amsterdam, the Netherlands.
Huipin YuanKuros Biosciences BV, Bilthoven, The Netherlands.
Joost de BruijnKuros Biosciences BV, Bilthoven, The Netherlands.
Michel SadelainCenter for Cell Engineering, Immunology Program, Memorial Sloan Kettering Cancer Center, New York, U.S.A.
Henk M LokhorstDepartment of Haematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Location VUmc, Amsterdam, the Netherlands.
Richard W J GroenDepartment of Haematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Location VUmc, Amsterdam, the Netherlands.
Tuna MutisDepartment of Haematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Location VUmc, Amsterdam, the Netherlands.
Maria ThemeliDepartment of Haematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Location VUmc, Amsterdam, the Netherlands. m.themeli@vumc.nl.
Amsterdam University Medical Centers · NLKuros Biosciences (Switzerland) · CHMemorial Sloan Kettering Cancer Center · USQueen Mary University of London · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeTargeting nonspecific, tumor-associated antigens (TAA) with chimeric antigen receptors (CAR) requires specific attention to restrict possible detrimental on-target/off-tumor effects. A reduced affinity may direct CAR-engineered T (CAR-T) cells to tumor cells expressing high TAA levels while sparing low expressing normal tissues. However, decreasing the affinity of the CAR-target binding may compromise the overall antitumor effects. Here, we demonstrate the prime importance of the type of intracellular signaling on the function of low-affinity CAR-T cells. EXPERIMENTAL

designWe used a series of single-chain variable fragments (scFv) with five different affinities targeting the same epitope of the multiple myeloma-associated CD38 antigen. The scFvs were incorporated in three different CAR costimulation designs and we evaluated the antitumor functionality and off-tumor toxicity of the generated CAR-T cells

resultsWe show that the inferior cytotoxicity and cytokine secretion mediated by CD38 CARs of very low-affinity (

conclusionsA combinatorial costimulatory design allows the use of very low-affinity binding domains (

Indexed as

AnimalsAntigens, NeoplasmCD28 AntigensCell Line, TumorCytokinesDisease Models, AnimalGene OrderGenetic EngineeringGenetic VectorsHumansImmunologic MemoryImmunotherapy, AdoptiveLymphocyte ActivationMiceMultiple MyelomaPhenotypeAntigens, NeoplasmCD28 AntigensCytokinesReceptors, Antigen, T-CellReceptors, Chimeric AntigenSingle-Chain AntibodiesTNFRSF9 protein, humanTumor Necrosis Factor Receptor Superfamily, Member 9

Identifiers

PMID30979735
PMCPMC7477921
OpenAlexW2936522106

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.