Evidence map›Paper›PMID 34743703›Full record

ArticleJournal of translational medicine2021

Contextual reprogramming of CAR-T cells for treatment of HER2

Zhifen Yang, Lingyu Li, Ahu Turkoz, Pohan Chen, Rona Harari-Steinfeld, Maggie Bobbin, Ofir Stefanson, Hana Choi, Violena Pietrobon, Bennett Alphson and 12 more

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.0field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Epigenetic insights and innovations for overcoming barriers in CAR-T cell therapy for cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  9. Nanocarriers for cutting-edge cancer immunotherapies.Journal of translational medicine · 2025
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  17. Tumor microenvironment and immunotherapy of oral cancer.European journal of medical research · 2022
    Review
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  19. Article
  20. StandardizedFrontiers in immunology · 2022
    Article
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

22 authors at 4 institutions in 2 countries.

Zhifen YangRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Lingyu LiRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Ahu TurkozRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Pohan ChenRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Rona Harari-SteinfeldRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Maggie BobbinRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Ofir StefansonRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Hana ChoiRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Violena PietrobonRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Bennett AlphsonRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Angshumala GoswamiRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Vitaly BalanRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Alper KearneyRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Dharmesh PatelRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Jin YangRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Damla InelRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Veena VinodESSA Pharma, South San Francisco, CA, 94080, USA.
Alessandra CesanoESSA Pharma, South San Francisco, CA, 94080, USA.
Bing WangRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA.
Kyung-Ho RohDepartment of Chemical and Materials Engineering, University of Alabama in Huntsville, Huntsville, AL, 35899, USA.
Lei S QiDepartment of Bioengineering, Department of Chemical and Systems Biology, Stanford University, ChEM-H, Stanford, CA, 94305, USA. stanley.qi@stanford.edu.
Francesco M MarincolaRefuge Biotechnologies Inc., Menlo Park, CA, 94025, USA. francesco.marincola1@gilead.com.ORCID 0000-0001-6423-391X
Refuge Biotechnologies (United States) · USEssa Pharma (United States) · USStanford University · USUniversity of Alabama in Huntsville · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdoptive transfer of chimeric antigen receptor (CAR)-engineered T cells combined with checkpoint inhibition may prevent T cell exhaustion and improve clinical outcomes. However, the approach is limited by cumulative costs and toxicities.

methodsTo overcome this drawback, we created a CAR-T (RB-340-1) that unites in one product the two modalities: a CRISPR interference-(CRISPRi) circuit prevents programmed cell death protein 1 (PD-1) expression upon antigen-encounter. RB-340-1 is engineered to express an anti-human epidermal growth factor receptor 2 (HER2) CAR single chain variable fragment (scFv), with CD28 and CD3ζ co-stimulatory domains linked to the tobacco etch virus (TEV) protease and a single guide RNA (sgRNA) targeting the PD-1 transcription start site (TSS). A second constructs includes linker for activation of T cells (LAT) fused to nuclease-deactivated spCas9 (dCas9)-Kruppel-associated box (KRAB) via a TEV-cleavable sequence (TCS). Upon antigen encounter, the LAT-dCas9-KRAB (LdCK) complex is cleaved by TEV allowing targeting of dCas9-KRAB to the PD-1 gene TSS.

resultsHere, we show that RB-340-1 consistently demonstrated higher production of homeostatic cytokines, enhanced expansion of CAR-T cells in vitro, prolonged in vivo persistence and more efficient suppression of HER2

conclusionsAs the first application of CRISPRi toward a clinically relevant product, RB-340-1 with the conditional, non-gene editing and reversible suppression promotes CAR-T cells resilience to checkpoint inhibition, and their persistence and effectiveness against HER2-expressing cancer xenografts.

Indexed as

NeoplasmsSingle-Chain AntibodiesCD28 AntigensCell Line, TumorHumansImmunotherapy, AdoptiveReceptors, Antigen, T-CellRNA, Guide, CRISPR-Cas SystemsT-LymphocytesCD28 AntigensReceptors, Antigen, T-CellRNA, Guide, CRISPR-Cas SystemsSingle-Chain Antibodies

Identifiers

PMID34743703
PMCPMC8573881
OpenAlexW3212016889

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.