Evidence map›Paper›PMID 31622431›Full record

ArticlePloS one2019

TEM8/ANTXR1-specific CAR T cells mediate toxicity in vivo.

Kristina Petrovic, Joseph Robinson, Katharine Whitworth, Elizabeth Jinks, Abeer Shaaban, Steven P Lee

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.4field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 39 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Kristina PetrovicInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Joseph RobinsonInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Katharine WhitworthInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Elizabeth JinksInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.
Abeer ShaabanHistopathology Department, Queen Elizabeth Hospital, Birmingham, United Kingdom.
Steven P LeeInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0001-7391-2404
University of Birmingham · GBQueen Elizabeth Hospital Birmingham · GB

Funding

Wellcome TrustWellcome Trust 102286/Z/13/Z
6 · The paper itself

Abstract

Engineering T-cells to express receptors specific for antigens present on tumour tissue is proving a highly effective treatment for some leukaemias. However, extending this to solid tumours requires antigens that can be safely and effectively targeted. TEM8, a marker overexpressed on the vasculature of some solid tumours, has been proposed as one such target. A recent report stated that T-cells engineered to express a TEM8-specific chimeric antigen receptor (CAR), when injected into mouse models of triple negative breast cancer, are both safe and effective in controlling tumour growth. Here we report contrasting data with a panel of TEM8-specific CAR-T-cells including one generated from the same antibody used in the other study. We found that the CAR-T-cells demonstrated clear TEM8-specific cytotoxic and cytokine release responses in vitro, but when injected into healthy C57BL6 and NSG mice they rapidly and selectively disappeared from the circulation and in most cases caused rapid toxicity. Infusing CAR-T-cells into a TEM8-knockout mouse indicated that selective loss of cells from the circulation was due to targeting of TEM8 in healthy tissues. Histological analysis of mice treated with a TEM8-specific CAR revealed evidence of inflammation in the lung and spleen with large collections of infiltrating neutrophils. Therefore our data raise concerns over potential on-target off-tumour toxicity with CARs targeting TEM8 and these should be considered carefully before embarking upon clinical trials with such agents.

Indexed as

Immunotherapy, AdoptiveAnimalsCell Line, TumorFemaleHumansInterferon-gammaLungMiceMice, Inbred C57BLMice, KnockoutMicrofilament ProteinsNeutrophil InfiltrationReceptors, Cell SurfaceSingle-Chain AntibodiesSpleenT-LymphocytesANTXR1 protein, humanInterferon-gammaMicrofilament ProteinsReceptors, Cell SurfaceSingle-Chain Antibodies

Identifiers

PMID31622431
PMCPMC6797195
OpenAlexW2981223353

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.