Evidence map›Paper›PMID 35606821›Full record

ReviewJournal of translational medicine2022

Exhaustion of CAR T cells: potential causes and solutions.

Taku Kouro, Hidetomo Himuro, Tetsuro Sasada

Abstract readReview
In one paragraph

Review in Journal of translational medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 1 pooled it
–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

81 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
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  6. Reprogramming CD22 CAR-T cells in vivo using CD8-targeted mRNA-LNPs to treat hematological malignancies.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  7. Review
  8. T cell adaptation in chronic infections and tumors.Cellular & molecular immunology · 2026
    Review
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  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
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  16. Article
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21 more citing papers are in PubMed but not listed here.

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

3 authors.

Taku KouroDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan. kourot@gancen.asahi.yokohama.jp.ORCID 0000-0003-1526-575X
Hidetomo HimuroDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan.ORCID 0000-0002-5731-1227
Tetsuro SasadaDivision of Cancer Immunotherapy, Kanagawa Cancer Center Research Institute, Yokohama, Japan.ORCID 0000-0002-2313-8833

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T cell therapy has attracted attention for its promising therapeutic effects on hematological malignancies. However, there are problems such as relapse during long-term follow-up and limited effect on solid tumors with this therapy. Exhaustion, which impairs in vivo persistence and killing activity of CAR T cells, is one of the causes of these issues. Depending on their structure of extracellular portion, some CARs induce tonic signals in the absence of ligand stimulation and induce exhaustion phenotype in CAR T cells. Analysis of these self-activating CARs is expected to provide key information for understanding and resolving CAR T cell exhaustion. In this review, we introduced examples of self-activating CARs and summarized their phenotypes to figure out how CAR T cell exhaustion occurs. Further, we aimed to review promising solutions to the CAR T cell exhaustion that hampers generalized application of CAR T cell therapy.

Indexed as

Hematologic NeoplasmsReceptors, Chimeric AntigenHumansImmunotherapy, AdoptiveNeoplasm Recurrence, LocalReceptors, Antigen, T-CellT-LymphocytesReceptors, Antigen, T-CellReceptors, Chimeric AntigenChimeric antigen receptorEngineered cellEpigeneticsExhaustionTonic signal

Identifiers

PMID35606821
PMCPMC9125881

What OpenQuestion holds

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Registered trials

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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.