Evidence map›Paper›PMID 32484797›Full record

ArticleJCI insight2020

Activation of CAR and non-CAR T cells within the tumor microenvironment following CAR T cell therapy.

Pei-Hsuan Chen, Mikel Lipschitz, Jason L Weirather, Caron Jacobson, Philippe Armand, Kyle Wright, F Stephen Hodi, Zachary J Roberts, Stuart A Sievers, John Rossi and 3 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

65 citing papers in PubMed, 104 citations in OpenAlex.

  1. Whole-body CD8Nature communications · 2025
    Trial
  2. Trial
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  4. Article
  5. Article
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  7. Review
  8. Review
  9. Article
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  13. Article
  14. Review
  15. Article
  16. Article
  17. Myeloma cell-intrinsic ANXA1 elevation and T cell dysfunction contribute to BCMA-negative relapse after CAR-T therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  18. Two-stage CD8Nature communications · 2025
    Article
  19. Review
  20. Depletion of Tregs from CD4The FEBS journal · 2025
    Article

5 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

13 authors at 2 institutions in 1 country.

Pei-Hsuan ChenCenter for Immuno-Oncology and.
Mikel LipschitzCenter for Immuno-Oncology and.
Jason L WeiratherCenter for Immuno-Oncology and.
Caron JacobsonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Philippe ArmandDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Kyle WrightDepartment of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
F Stephen HodiCenter for Immuno-Oncology and.
Zachary J RobertsKite, a Gilead company, Santa Monica, California, USA.
Stuart A SieversKite, a Gilead company, Santa Monica, California, USA.
John RossiKite, a Gilead company, Santa Monica, California, USA.
Adrian BotKite, a Gilead company, Santa Monica, California, USA.
William GoKite, a Gilead company, Santa Monica, California, USA.
Scott J RodigCenter for Immuno-Oncology and.
Dana-Farber Cancer Institute · USBrigham and Women's Hospital · US

Funding

VASCULAR, PULMONARY AND RENAL INJURYT32HL007627 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI GIMBRONE, MICHAEL A, MITCHELL, RICHARD N · 1985 to 2019
$12.7M
NHLBI NIH HHS T32 HL007627
6 · The paper itself

Abstract

Mechanisms of chimeric antigen receptor (CAR) T cell-mediated antitumor immunity and toxicity remain poorly characterized because few studies examine the intact tumor microenvironment (TME) following CAR T cell infusion. Axicabtagene ciloleucel is an autologous anti-CD19 CAR T cell therapy approved for patients with large B cell lymphoma. We devised multiplex immunostaining and ISH assays to interrogate CAR T cells and other immune cell infiltrates in biopsies of diffuse large B cell lymphoma following axicabtagene ciloleucel infusion. We found that a majority of intratumoral CAR T cells expressed markers of T cell activation but, unexpectedly, constituted ≤5% of all T cells within the TME 5 days or more after therapy. Large numbers of T cells without CAR were also activated within the TME after axicabtagene ciloleucel infusion; these cells were positive for Ki-67, IFN-γ, granzyme B (GzmB), and/or PD-1 and were found at the highest levels in biopsies with CAR T cells. Additionally, non-CAR immune cells were the exclusive source of IL-6, a cytokine associated with cytokine release syndrome, and were found at their highest numbers in biopsies with CAR T cells. These data suggest that intratumoral CAR T cells are associated with non-CAR immune cell activation within the TME with both beneficial and pathological effects.

Indexed as

Antigens, CD19Biological ProductsBiomarkersHumansImmunotherapy, AdoptiveLymphoma, Large B-Cell, DiffuseReceptors, Antigen, T-CellReceptors, Chimeric AntigenT-LymphocytesTumor MicroenvironmentAntigens, CD19axicabtagene ciloleucelBiological ProductsBiomarkersReceptors, Antigen, T-CellReceptors, Chimeric AntigenCancer immunotherapyLymphomasOncology

Identifiers

PMID32484797
PMCPMC7406247
OpenAlexW3032210049

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.