Evidence map›Paper›PMID 32817591›Full record

ArticleThe Journal of clinical investigation2020

Antigen-specific B cell depletion for precision therapy of mucosal pemphigus vulgaris.

Jinmin Lee, Daniel K Lundgren, Xuming Mao, Silvio Manfredo-Vieira, Selene Nunez-Cruz, Erik F Williams, Charles-Antoine Assenmacher, Enrico Radaelli, Sangwook Oh, Baomei Wang and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 1 pooled it
9.4field-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

89 citing papers in PubMed, 1 synthesis or guideline pooled it, 144 citations in OpenAlex.

  1. Pooled it
  2. Genes & diseases · 2027
    Review
  3. Review
  4. Review
  5. Beyond Oncology: Exploring the Expanding Role of CAR T Cell Therapy in Autoimmune and Infectious Diseases-A Systematic Review.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  6. Article
  7. Review
  8. T cell engagers in autoimmune diseases.Nature reviews. Immunology · 2026
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Emerging Treatments in Pemphigus: Is Healing an Achievable Goal?American journal of clinical dermatology · 2026
    Review
  16. In vivo chimeric antigen receptor (CAR)-T cell therapy.Nature reviews. Drug discovery · 2026
    Review
  17. Review
  18. Review
  19. Article
  20. Review

29 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

14 authors at 1 institution in 1 country.

Jinmin LeeDepartment of Dermatology.
Daniel K LundgrenDepartment of Dermatology.
Xuming MaoDepartment of Dermatology.
Silvio Manfredo-VieiraDepartment of Dermatology.
Selene Nunez-CruzDepartment of Pathology/Laboratory Medicine.
Erik F WilliamsDepartment of Microbiology, and.
Charles-Antoine AssenmacherDepartment of Pathobiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Enrico RadaelliDepartment of Pathobiology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Sangwook OhDepartment of Dermatology.
Baomei WangDepartment of Dermatology.
Christoph T EllebrechtDepartment of Dermatology.
Joseph A FraiettaDepartment of Microbiology, and.
Michael C MiloneDepartment of Pathology/Laboratory Medicine.
Aimee S PayneDepartment of Dermatology.
University of Pennsylvania · US

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SHELLEY L BERGER · 1985 to 2026
$222.3M
Penn Dermatology Research Training ProgramT32AR007465 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice, David Joel Margolis · 1986 to 2026
$9.0M
Study Design and Data AnalysisP30AR069589 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice · 2016 to 2026
$8.6M
Engineering disease-specific T cells for pemphigus therapyR01AR068288 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI PAYNE, AIMEE S · 2015 to 2019
$1.8M
University of Pennsylvania Clinical Autoimmunity Center of ExcellenceUM1AI144288 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI BAR-OR, AMIT, PAYNE, AIMEE S · 2019 to 2023
$551k
NCI NIH HHS P30 CA016520NIAID NIH HHS UM1 AI144288NIAMS NIH HHS P30 AR069589NIAMS NIH HHS R01 AR068288NIAMS NIH HHS T32 AR007465
6 · The paper itself

Abstract

Desmoglein 3 chimeric autoantibody receptor T cells (DSG3-CAART) expressing the pemphigus vulgaris (PV) autoantigen DSG3 fused to CD137-CD3ζ signaling domains, represent a precision cellular immunotherapy approach for antigen-specific B cell depletion. Here, we present definitive preclinical studies enabling a first-in-human trial of DSG3-CAART for mucosal PV. DSG3-CAART specifically lysed human anti-DSG3 B cells from PV patients and demonstrated activity consistent with a threshold dose in vivo, resulting in decreased target cell burden, decreased serum and tissue-bound autoantibodies, and increased DSG3-CAART engraftment. In a PV active immune model with physiologic anti-DSG3 IgG levels, DSG3-CAART inhibited antibody responses against pathogenic DSG3 epitopes and autoantibody binding to epithelial tissues, leading to clinical and histologic resolution of blisters. DSG3 autoantibodies stimulated DSG3-CAART IFN-γ secretion and homotypic clustering, consistent with an activated phenotype. Toxicology screens using primary human cells and high-throughput membrane proteome arrays did not identify off-target cytotoxic interactions. These preclinical data guided the trial design for DSG3-CAART and may help inform CAART preclinical development for other antibody-mediated diseases.

Indexed as

Adoptive TransferLymphocyte DepletionPrecision MedicineAdultAnimalsAutoantibodiesB-LymphocytesDesmoglein 3Disease Models, AnimalFemaleHumansInterferon-gammaIsoantigensMaleMiceMice, Inbred NODAutoantibodiesDesmoglein 3DSG3 protein, humanIFNG protein, humanInterferon-gammaIsoantigensAutoimmune diseasesAutoimmunityB cellsImmunotherapyTherapeutics

Identifiers

PMID32817591
PMCPMC7685721
OpenAlexW3081379129

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.