Evidence map›Paper›PMID 31542797›Full record

ReviewCancer immunology, immunotherapy : CII2019

T cell engineering for adoptive T cell therapy: safety and receptor avidity.

Elvira D'Ippolito, Kilian Schober, Magdalena Nauerth, Dirk H Busch

Open access · greenAbstract readReview
In one paragraph

Review in Cancer immunology, immunotherapy : CII, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

30 citing papers in PubMed, 45 citations in OpenAlex.

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  17. Emerging Trends in Immunotherapy for Cancer.Diseases (Basel, Switzerland) · 2022
    Review
  18. Immune-based therapies in penile cancer.Nature reviews. Urology · 2022
    Review
  19. Review
  20. Review
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

4 authors at 2 institutions in 1 country.

Elvira D'IppolitoInstitute for Medical Microbiology, Immunology and Hygiene, Technische Universität München (TUM), Trogerstr. 30, 81675, Munich, Germany.ORCID https://orcid.org/0000-0003-0113-6797
Kilian SchoberInstitute for Medical Microbiology, Immunology and Hygiene, Technische Universität München (TUM), Trogerstr. 30, 81675, Munich, Germany.ORCID https://orcid.org/0000-0001-9323-9472
Magdalena NauerthInstitute for Medical Microbiology, Immunology and Hygiene, Technische Universität München (TUM), Trogerstr. 30, 81675, Munich, Germany.ORCID http://orcid.org/0000-0003-4833-5435
Dirk H BuschInstitute for Medical Microbiology, Immunology and Hygiene, Technische Universität München (TUM), Trogerstr. 30, 81675, Munich, Germany. dirk.busch@tum.de.
Technical University of Munich · DEGerman Center for Infection Research · DE

Funding

Deutsche Forschungsgemeinschaft (DE) SFB1321
6 · The paper itself

Abstract

Since the first bone marrow transplantation, adoptive T cell therapy (ACT) has developed over the last 80 years to a highly efficient and specific therapy for infections and cancer. Genetic engineering of T cells with antigen-specific receptors now provides the possibility of generating highly defined and efficacious T cell products. The high sensitivity of engineered T cells towards their targets, however, also bears the risk of severe off-target toxicities. Therefore, different safety strategies for engineered T cells have been developed that enable removal of the transferred cells in case of adverse events, control of T cell activity or improvement of target selectivity. Receptor avidity is a crucial component in the balance between safety and efficacy of T cell products. In clinical trials, T cells equipped with high avidity T cell receptor (TCR)/chimeric antigen receptor (CAR) have been mostly used so far because of their faster and better response to antigen recognition. However, over-activation can trigger T cell exhaustion/death as well as side effects due to excessive cytokine production. Low avidity T cells, on the other hand, are less susceptible to over-activation and could possess better selectivity in case of tumor antigens shared with healthy tissues, but complete tumor eradication may not be guaranteed. In this review we describe how 'optimal' TCR/CAR affinity can increase the safety/efficacy balance of engineered T cells, and discuss simultaneous or sequential infusion of high and low avidity receptors as further options for efficacious but safe T cell therapy.

Indexed as

Antibody AffinityGenetic EngineeringHumansImmunotherapy, AdoptiveReceptors, Antigen, T-CellReceptors, Chimeric AntigenT-LymphocytesReceptors, Antigen, T-CellReceptors, Chimeric AntigenCARSafeguardsT cell engineeringTCR avidity

Identifiers

PMID31542797
PMCPMC11028346
OpenAlexW2973409297

What OpenQuestion holds

Textmetadata
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.