Evidence map›Paper›PMID 33494834›Full record

ReviewStem cell research & therapy2021

CAR T cells in solid tumors: challenges and opportunities.

Faroogh Marofi, Roza Motavalli, Vladimir A Safonov, Lakshmi Thangavelu, Alexei Valerievich Yumashev, Markov Alexander, Navid Shomali, Max Stanley Chartrand, Yashwant Pathak, Mostafa Jarahian and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Stem cell research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 328 papers.

0numbers the graph read from it
0cells of the map it votes in
328citing papers in PubMed
38.3field-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

328 citing papers in PubMed, 557 citations in OpenAlex.

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  14. Ablation of prostaglandin ENature biomedical engineering · 2026
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  19. DR5 CAR-T cells target melanoma and suppress MDSCs with minimal toxicity.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  20. Article

268 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

15 authors at 9 institutions in 5 countries.

Faroogh MarofiDepartment of Hematology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Roza MotavalliStem Cell Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. Rozamotavalli@gmail.com.
Vladimir A SafonovThe Laboratory of Biogeochemistry and Environment, Vernadsky Institute of Geochemistry and Analytical Chemistry of Russian Academy of Sciences, Kosygina 19 Street, Moscow, Russian Federation, 119991.
Lakshmi ThangaveluDepartment of Pharmacology, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.
Alexei Valerievich YumashevDepartment of Prosthetic Dentistry, First Moscow State Medical University, Moscow, Russian Federation.
Markov AlexanderTyumen State Medical University, Tyumen Industrial University, Tyumen, Russian Federation.
Navid ShomaliToxicology and Chemotherapy Unit (G401), German Cancer Research Center, 69120, Heidelberg, Germany.
Max Stanley ChartrandDigiCare Behavioral Research, Casa Grande, AZ, USA.
Yashwant PathakTaneja College of Pharmacy, University of South Florida, Tampa, FL, USA.
Mostafa JarahianDepartment of Immunology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Sepideh IzadiToxicology and Chemotherapy Unit (G401), German Cancer Research Center, 69120, Heidelberg, Germany.
Ali HassanzadehToxicology and Chemotherapy Unit (G401), German Cancer Research Center, 69120, Heidelberg, Germany.
Naghmeh ShirafkanToxicology and Chemotherapy Unit (G401), German Cancer Research Center, 69120, Heidelberg, Germany.
Safa TahmasebiToxicology and Chemotherapy Unit (G401), German Cancer Research Center, 69120, Heidelberg, Germany.
Farhad Motavalli KhiaviDepartment of Virology, Pasteur Institute of Iran, Tehran, Iran. farhad.motavalli@gmail.com.
Heidelberg University · DETabriz University of Medical Sciences · IRGerman Cancer Research Center · DEPasteur Institute of Iran · IRSaveetha University · INSechenov University · RUTyumen State Medical University · RUUniversity of South Florida · USV.I. Vernadsky Institute of Geochemistry and Analytical Chemistry · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCARs are simulated receptors containing an extracellular single-chain variable fragment (scFv), a transmembrane domain, as well as an intracellular region of immunoreceptor tyrosine-based activation motifs (ITAMs) in association with a co-stimulatory signal. MAIN BODY: Chimeric antigen receptor (CAR) T cells are genetically engineered T cells to express a receptor for the recognition of the particular surface marker that has given rise to advances in the treatment of blood disorders. The CAR T cells obtain supra-physiological properties and conduct as "living drugs" presenting both immediate and steady effects after expression in T cells surface. But, their efficacy in solid tumor treatment has not yet been supported. The pivotal challenges in the field of solid tumor CAR T cell therapy can be summarized in three major parts: recognition, trafficking, and surviving in the tumor. On the other hand, the immunosuppressive tumor microenvironment (TME) interferes with T cell activity in terms of differentiation and exhaustion, and as a result of the combined use of CARs and checkpoint blockade, as well as the suppression of other inhibitor factors in the microenvironment, very promising results were obtained from the reduction of T cell exhaustion.

conclusionNowadays, identifying and defeating the mechanisms associated with CAR T cell dysfunction is crucial to establish CAR T cells that can proliferate and lyse tumor cells severely. In this review, we discuss the CAR signaling and efficacy T in solid tumors and evaluate the most significant barriers in this process and describe the most novel therapeutic methods aiming to the acquirement of the promising therapeutic outcome in non-hematologic malignancies.

Indexed as

NeoplasmsReceptors, Chimeric AntigenHumansImmunotherapy, AdoptiveT-LymphocytesTumor MicroenvironmentReceptors, Chimeric AntigenCAR T cellsCell therapyChimeric antigen receptorSolid tumors

Identifiers

PMID33494834
PMCPMC7831265
OpenAlexW3122724341

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.