Evidence map›Paper›PMID 34326166›Full record

ArticleJournal for immunotherapy of cancer2021

Src/lck inhibitor dasatinib reversibly switches off cytokine release and T cell cytotoxicity following stimulation with T cell bispecific antibodies.

Gabrielle Leclercq, Hélène Haegel, Anneliese Schneider, Anna Maria Giusti, Estelle Marrer-Berger, Christophe Boetsch, Antje-Christine Walz, Vesna Pulko, Johannes Sam, John Challier and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
1.9field-weighted citation impact, top 11% 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

27 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
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  3. Transient prophylactic immunosuppression with abatacept or dasatinib prevents immune responses in AAV gene transfer.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
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  10. Presetting CAR-T cells during ex vivo biomanufacturing.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
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  19. New insights into the Lck-NF-κB signaling pathway.Frontiers in cell and developmental biology · 2023
    Review
  20. Review
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 2 institutions in 1 country.

Gabrielle LeclercqRoche Pharma Research and Early Development, Roche Innovation Centre Zurich, Schlieren, Switzerland gabrielle.leclercq@roche.com.ORCID 0000-0003-0576-0546
Hélène HaegelRoche Pharma Research and Early Development, Roche Innovation Centre Zurich, Schlieren, Switzerland.
Anneliese SchneiderRoche Pharma Research and Early Development, Roche Innovation Centre Zurich, Schlieren, Switzerland.
Anna Maria GiustiRoche Pharma Research and Early Development, Roche Innovation Centre Zurich, Schlieren, Switzerland.
Estelle Marrer-BergerRoche Pharma Research and Early Development, Roche Innovation Center Basel, Basel, Switzerland.
Christophe BoetschRoche Pharma Research and Early Development, Roche Innovation Center Basel, Basel, Switzerland.
Antje-Christine WalzRoche Pharma Research and Early Development, Roche Innovation Center Basel, Basel, Switzerland.
Vesna PulkoRoche Pharma Research and Early Development, Roche Innovation Centre Zurich, Schlieren, Switzerland.
Johannes SamRoche Pharma Research and Early Development, Roche Innovation Centre Zurich, Schlieren, Switzerland.
John ChallierRoche Pharma Research and Early Development, Roche Innovation Centre Zurich, Schlieren, Switzerland.
Cristiano FerliniRoche Pharma Research and Early Development, Roche Innovation Centre Zurich, Schlieren, Switzerland.
Alex OdermattDepartment of Pharmaceutical Sciences, Division of Molecular and Systems Toxicology, University of Basel, Basel, Switzerland.
Pablo UmañaRoche Pharma Research and Early Development, Roche Innovation Centre Zurich, Schlieren, Switzerland.
Marina BacacRoche Pharma Research and Early Development, Roche Innovation Centre Zurich, Schlieren, Switzerland.
Christian KleinRoche Pharma Research and Early Development, Roche Innovation Centre Zurich, Schlieren, Switzerland.
Roche (Switzerland) · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundT cell engagers are bispecific antibodies recognizing, with one moiety, the CD3ε chain of the T cell receptor and, with the other moiety, specific tumor surface antigens. Crosslinking of CD3 upon simultaneous binding to tumor antigens triggers T cell activation, proliferation and cytokine release, leading to tumor cell killing. Treatment with T cell engagers can be associated with safety liabilities due to on-target on-tumor, on-target off-tumor cytotoxic activity and cytokine release syndrome (CRS). Tyrosine kinases such as SRC, LCK or ZAP70 are involved in downstream signaling pathways after engagement of the T cell receptor and blocking these kinases might serve to abrogate T cell activation when required (online supplemental material 1). Dasatinib was previously identified as a potent kinase inhibitor that switches off CAR T cell functionality.

methodsUsing an in vitro model of target cell killing by human peripheral blood mononuclear cells, we assessed the effects of dasatinib combined with 2+1 T cell bispecific antibodies (TCBs) including CEA-TCB, CD19-TCB or HLA-A2 WT1-TCB on T cell activation, proliferation and target cell killing measured by flow cytometry and cytokine release measured by Luminex. To determine the effective dose of dasatinib, the Incucyte system was used to monitor the kinetics of TCB-mediated target cell killing in the presence of escalating concentrations of dasatinib. Last, the effects of dasatinib were evaluated in vivo in humanized NSG mice co-treated with CD19-TCB. The count of CD20

resultsDasatinib concentrations above 50 nM prevented cytokine release and switched off-target cell killing, which were subsequently restored on removal of dasatinib. In addition, dasatinib prevented CD19-TCB-mediated B cell depletion in humanized NSG mice. These data confirm that dasatinib can act as a rapid and reversible on/off switch for activated T cells at pharmacologically relevant doses as they are applied in patients according to the label.

conclusionTaken together, we provide evidence for the use of dasatinib as a pharmacological on/off switch to mitigate off-tumor toxicities or CRS by T cell bispecific antibodies.

Indexed as

AnimalsAntibodies, BispecificAntineoplastic AgentsCytokinesDasatinibHumansMiceReceptors, Antigen, T-CellAntibodies, BispecificAntineoplastic AgentsCytokinesDasatinibReceptors, Antigen, T-Cellcombinationcytokinescytotoxicitydrug evaluationdrug therapyimmunologicimmunotherapyinflammationlymphocyte activationpreclinicalt-lymphocytes

Identifiers

PMID34326166
PMCPMC8323395
OpenAlexW3184763151

What OpenQuestion holds

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LicenceCC BY-NC
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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.