Evidence map›Paper›PMID 34964902›Full record

ArticleNeuro-oncology2022

Dual IGF1R/IR inhibitors in combination with GD2-CAR T-cells display a potent anti-tumor activity in diffuse midline glioma H3K27M-mutant.

Emmanuel de Billy, Marsha Pellegrino, Domenico Orlando, Giulia Pericoli, Roberta Ferretti, Pietro Businaro, Maria Antonietta Ajmone-Cat, Sabrina Rossi, Lucia Lisa Petrilli, Nicola Maestro and 18 more

Open access · hybridAbstract read
In one paragraph

Article in Neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 2% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

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  18. GD2-Targeting CAR T-cell Therapy for Patients with GD2+ Medulloblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 4 institutions in 2 countries.

Emmanuel de BillyDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Marsha PellegrinoDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Domenico OrlandoDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Giulia PericoliDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Roberta FerrettiDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Pietro BusinaroDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.ORCID 0000-0002-5990-4640
Maria Antonietta Ajmone-CatNational Centre for Drug Research and Evaluation, Istituto Superiore di Sanità-Rome, Rome, Italy.
Sabrina RossiDepartment of Laboratories-Pathology Unit, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Lucia Lisa PetrilliDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Nicola MaestroDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Francesca Diomedi-CamasseiDepartment of Laboratories-Pathology Unit, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Marco PezzulloResearch Laboratories, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Cristiano De StefanisResearch Laboratories, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Paola BencivengaResearch Laboratories, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Alessia PalmaResearch Laboratories, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Rossella RotaDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Francesca Del BufaloDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.ORCID 0000-0001-9643-3465
Luca MassimiDepartment of Pediatric Neurosurgery, Catholic University Medical School, Rome, Italy.
Gerrit WeberDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Chris JonesDivision of Molecular Pathology, Institute of Cancer Research, Sutton, UK.
Andrea CaraiDepartment of Neuroscience and Neurorehabilitation, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.ORCID 0000-0002-5203-7855
Simona CarusoDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Biagio De AngelisDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Ignazio CaruanaDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Concetta QuintarelliDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Angela MastronuzziDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.ORCID 0000-0002-4408-2373
Franco LocatelliDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.ORCID 0000-0002-7976-3654
Maria VinciDepartment of Onco-hematology, Gene and Cell Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.ORCID 0000-0002-7952-6771
Bambino Gesù Children's Hospital · ITInstitute of Cancer Research · GBIstituto Superiore di Sanità · ITUniversità Cattolica del Sacro Cuore · IT

Funding

Cancer Research UK 11736Cancer Research UK 13982Cancer Research UK 23536
6 · The paper itself

Abstract

backgroundDiffuse midline gliomas (DMG) H3K27M-mutant, including diffuse intrinsic pontine glioma (DIPG), are pediatric brain tumors associated with grim prognosis. Although GD2-CAR T-cells demonstrated significant anti-tumor activity against DMG H3K27M-mutant in vivo, a multimodal approach may be needed to more effectively treat patients. We investigated GD2 expression in DMG/DIPG and other pediatric high-grade gliomas (pHGG) and sought to identify chemical compounds that would enhance GD2-CAR T-cell anti-tumor efficacy.

methodsImmunohistochemistry in tumor tissue samples and immunofluorescence in primary patient-derived cell lines were performed to study GD2 expression. We developed a high-throughput cell-based assay to screen 42 kinase inhibitors in combination with GD2-CAR T-cells. Cell viability, western blots, flow-cytometry, real time PCR experiments, DIPG 3D culture models, and orthotopic xenograft model were applied to investigate the effect of selected compounds on DIPG cell death and CAR T-cell function.

resultsGD2 was heterogeneously, but widely, expressed in the tissue tested, while its expression was homogeneous and restricted to DMG/DIPG H3K27M-mutant cell lines. We identified dual IGF1R/IR antagonists, BMS-754807 and linsitinib, able to inhibit tumor cell viability at concentrations that do not affect CAR T-cells. Linsitinib, but not BMS-754807, decreases activation/exhaustion of GD2-CAR T-cells and increases their central memory profile. The enhanced anti-tumor activity of linsitinib/GD2-CAR T-cell combination was confirmed in DIPG models in vitro, ex vivo, and in vivo.

conclusionOur study supports the development of IGF1R/IR inhibitors to be used in combination with GD2-CAR T-cells for treating patients affected by DMG/DIPG and, potentially, by pHGG.

Indexed as

Brain Stem NeoplasmsGliomaImmunotherapy, AdoptiveReceptor, IGF Type 1Receptor, InsulinChildHumansT-LymphocytesIGF1R protein, humanReceptor, IGF Type 1Receptor, InsulinCAR T-cellsDIPGDMGIGF1R/IRimmunotherapy

Identifiers

PMID34964902
PMCPMC9248389
OpenAlexW4200098966

What OpenQuestion holds

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LicenceCC BY-NC
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.