Evidence map›Paper›PMID 34771608›Full record

ReviewCancers2021

CAR T Cell Therapy's Potential for Pediatric Brain Tumors.

Pauline Thomas, Natacha Galopin, Emma Bonérandi, Béatrice Clémenceau, Sophie Fougeray, Stéphane Birklé

Abstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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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.

Pauline ThomasUniversité de Nantes, INSERM, CRCINA, F-44000 Nantes, France.
Natacha GalopinUniversité de Nantes, INSERM, CRCINA, F-44000 Nantes, France.
Emma BonérandiUniversité de Nantes, INSERM, CRCINA, F-44000 Nantes, France.
Béatrice ClémenceauUniversité de Nantes, CHU Nantes, CNRS, INSERM, CRCINA, F-44000 Nantes, France.
Sophie FougerayUniversité de Nantes, INSERM, CRCINA, F-44000 Nantes, France.
Stéphane BirkléUniversité de Nantes, INSERM, CRCINA, F-44000 Nantes, France.ORCID 0000-0001-8217-778X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malignant central nervous system tumors are the leading cause of cancer death in children. Progress in high-throughput molecular techniques has increased the molecular understanding of these tumors, but the outcomes are still poor. Even when efficacious, surgery, radiation, and chemotherapy cause neurologic and neurocognitive morbidity. Adoptive cell therapy with autologous CD19 chimeric antigen receptor T cells (CAR T) has demonstrated remarkable remission rates in patients with relapsed refractory B cell malignancies. Unfortunately, tumor heterogeneity, the identification of appropriate target antigens, and location in a growing brain behind the blood-brain barrier within a specific suppressive immune microenvironment restrict the efficacy of this strategy in pediatric neuro-oncology. In addition, the vulnerability of the brain to unrepairable tissue damage raises important safety concerns. Recent preclinical findings, however, have provided a strong rationale for clinical trials of this approach in patients. Here, we examine the most important challenges associated with the development of CAR T cell immunotherapy and further present the latest preclinical strategies intending to optimize genetically engineered T cells' efficiency and safety in the field of pediatric neuro-oncology.

Indexed as

atypical teratoid rhabdoid tumorschimeric antigen receptorependymomahigh-grade gliomamedulloblastomapediatric brain tumorradiotherapyT celltumor microenvironment

Identifiers

PMID34771608
PMCPMC8582542

What OpenQuestion holds

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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.