Evidence map›Paper›PMID 34691062›Full record

ArticleFrontiers in immunology2021

Speed and Location Both Matter: Antigen Stimulus Dynamics Controls CAR-T Cell Response.

Can Liu, Timothy Qi, J Justin Milner, Yong Lu, Yanguang Cao

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

16 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Imaging the fate of CAR-T cellsFrontiers in immunology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. TIM-3Science immunology · 2024
    Article
  12. Reuniting philosophy and science to advance cancer research.Biological reviews of the Cambridge Philosophical Society · 2023
    Article
  13. Review
  14. Article
  15. Review
  16. 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

5 authors at 2 institutions in 1 country.

Can LiuDivision of Pharmacotherapy and Experimental Therapeutics, School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Timothy QiDivision of Pharmacotherapy and Experimental Therapeutics, School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
J Justin MilnerLineberger Comprehensive Cancer Center, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Yong LuDepartment of Microbiology and Immunology, Wake Forest School of Medicine, Winston-Salem, NC, United States.
Yanguang CaoDivision of Pharmacotherapy and Experimental Therapeutics, School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
University of North Carolina at Chapel Hill · USWake Forest University · US

Funding

Optimizing antibody-based therapy through a system platform of pharmacokinetics-pharmacodynamics-immunodynamicsR35GM119661 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI CAO, YANGUANG · 2016 to 2020
$2.1M
NIGMS NIH HHS R35 GM119661
6 · The paper itself

Abstract

Despite the success in B-cell malignancies, chimeric antigen receptor (CAR)-T cell therapies have not yet demonstrated consistent efficacy across all patients and tumor types, particularly against solid tumors. Higher rates of T cell exhaustion are associated with inferior clinical outcomes following CAR-T cell therapy, which is prevalent in solid tumors. T cell exhaustion may originate from persistent and chronic antigen stimulation by tumor cells that resist and/or evade T cell-mediated killing. We exploited CAR-T exhaustion with a classic negative feedback model (incoherent feedforward loop, IFFL) to investigate the balance between CAR-T cell activation and exhaustion under different antigen presentation dynamics. Built upon the experimental and clinical data, we hypothesize that the speed and anatomical location of antigenic stimulation are both crucial to CAR-T cell response. Chronic antigenic stimulation as well as the harsh tumor microenvironment present multiple barriers to CAR-T cell efficacy in solid tumors. Many therapeutic strategies are individually insufficient to improve of CAR-T responses against solid tumors, as they clear but one of the many barriers CAR-T cells face in solid tumors. A combination strategy targeting multiple barriers holds promise to improve CAR-T therapy in solid tumors.

Indexed as

Immunotherapy, AdoptiveModels, BiologicalAntigen PresentationAntigensHumansNeoplasmsReceptors, Chimeric AntigenAntigensReceptors, Chimeric Antigenantigen presentationCAR-T activationCAR-T exhaustiondiscontinuity theorysolid tumor

Identifiers

PMID34691062
PMCPMC8531752
OpenAlexW3202874855

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.