Evidence map›Paper›PMID 33168929›Full record

ReviewOncogene2021

Counteracting CAR T cell dysfunction.

Mansour Poorebrahim, Jeroen Melief, Yago Pico de Coaña, Stina L Wickström, Angel Cid-Arregui, Rolf Kiessling

Open access · hybridAbstract readReview
In one paragraph

Review in Oncogene, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 108 papers.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

108 citing papers in PubMed, 158 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Emerging biologic modalities for targeted protein degradation.The Journal of biological chemistry · 2026
    Review
  11. Review
  12. Review
  13. Review
  14. Targeting the Dynamics Between TAMs and CAR-T Cells in Solid Tumor Therapies.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Small-molecule control of CAR T cells.Nature reviews. Chemistry · 2025
    Review
  20. Review

48 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

6 authors at 2 institutions in 2 countries.

Mansour PoorebrahimDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden. mansour.poorebrahim@dkfz-heidelberg.de.ORCID http://orcid.org/0000-0003-0956-3507
Jeroen MeliefDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Yago Pico de CoañaDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Stina L WickströmDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Angel Cid-ArreguiTargeted Tumor Vaccines Group, Clinical Cooperation Unit Applied Tumor Immunity, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Rolf KiesslingDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden. rolf.kiessling@ki.se.ORCID http://orcid.org/0000-0003-0663-5763
Karolinska Institutet · SEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In spite of high rates of complete remission following chimeric antigen receptor (CAR) T cell therapy, the efficacy of this approach is limited by generation of dysfunctional CAR T cells in vivo, conceivably induced by immunosuppressive tumor microenvironment (TME) and excessive antigen exposure. Exhaustion and senescence are two critical dysfunctional states that impose a pivotal hurdle for successful CAR T cell therapies. Recently, modified CAR T cells with an "exhaustion-resistant" phenotype have shown superior antitumor functions and prolonged lifespan. In addition, several studies have indicated the feasibility of senescence delay in CAR T cells. Here, we review the latest reports regarding blockade of CAR T cell exhaustion and senescence with a particular focus on the exhaustion-inducing pathways. Subsequently, we describe what potential these latest insights offer for boosting the potency of adoptive cell transfer (ACT) therapies involving CAR T cells. Furthermore, we discuss how induction of costimulation, cytokine exposure, and TME modulation can impact on CAR T cell efficacy and persistence, while potential safety issues associated with reinvigorated CAR T cells will also be addressed.

Indexed as

AnimalsHumansImmunotherapy, AdoptiveLymphocytes, Tumor-InfiltratingNeoplasmsReceptors, Antigen, T-CellTumor MicroenvironmentReceptors, Antigen, T-Cell

Identifiers

PMID33168929
PMCPMC7808935
OpenAlexW3102474194

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.