Evidence map›Paper›PMID 35675405›Full record

ArticleScience advances2022

Single-cell antigen-specific landscape of CAR T infusion product identifies determinants of CD19-positive relapse in patients with ALL.

Zhiliang Bai, Steven Woodhouse, Ziran Zhao, Rahul Arya, Kiya Govek, Dongjoo Kim, Stefan Lundh, Alev Baysoy, Hongxing Sun, Yanxiang Deng and 8 more

Abstract read
In one paragraph

Article in Science advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing 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

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

  1. Pooled it
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  8. Article
  9. Depletion of CD8Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  10. Mapping clinical CAR-T cells: insights from scRNA-seq.Trends in molecular medicine · 2026
    Review
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56 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

18 authors.

Zhiliang BaiDepartment of Biomedical Engineering, Yale University, New Haven, CT 06520, USA.ORCID 0000-0002-3977-3057
Steven WoodhouseDepartment of Genetics and Institute for Biomedical Informatics, University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0002-8605-2762
Ziran ZhaoDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0002-8349-5322
Rahul AryaDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.ORCID 0000-0003-0867-6585
Kiya GovekDepartment of Genetics and Institute for Biomedical Informatics, University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0002-2105-0715
Dongjoo KimDepartment of Biomedical Engineering, Yale University, New Haven, CT 06520, USA.
Stefan LundhCenter for Cellular Immunotherapies, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Alev BaysoyDepartment of Biomedical Engineering, Yale University, New Haven, CT 06520, USA.
Hongxing SunDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Yanxiang DengDepartment of Biomedical Engineering, Yale University, New Haven, CT 06520, USA.ORCID 0000-0002-9975-8086
Yang XiaoDepartment of Biomedical Engineering, Yale University, New Haven, CT 06520, USA.ORCID 0000-0001-7878-4923
David M BarrettDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Regina M MyersDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.ORCID 0000-0002-2542-2061
Stephan A GruppDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.ORCID 0000-0001-8030-7595
Carl H JuneDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0003-0241-3557
Rong FanDepartment of Biomedical Engineering, Yale University, New Haven, CT 06520, USA.ORCID 0000-0001-7805-8059
Pablo G CamaraDepartment of Genetics and Institute for Biomedical Informatics, University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0001-6822-3604
J Joseph MelenhorstDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0001-7677-537X

Funding

Defining and overcoming intrinsic T cell dysfunction to enable pediatric immunotherapyU01CA232361 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI GRUPP, STEPHAN A., WEBER, EVAN WILLIAM · 2019 to 2019
$3.7M
NCI NIH HHS U01 CA232361
6 · The paper itself

Abstract

A notable number of acute lymphoblastic leukemia (ALL) patients develop CD19-positive relapse within 1 year after receiving chimeric antigen receptor (CAR) T cell therapy. It remains unclear if the long-term response is associated with the characteristics of CAR T cells in infusion products, hindering the identification of biomarkers to predict therapeutic outcomes. Here, we present 101,326 single-cell transcriptomes and surface protein landscape from the infusion products of 12 ALL patients. We observed substantial heterogeneity in the antigen-specific activation states, among which a deficiency of T helper 2 function was associated with CD19-positive relapse compared with durable responders (remission, >54 months). Proteomic data revealed that the frequency of early memory T cells, rather than activation or coinhibitory signatures, could distinguish the relapse. These findings were corroborated by independent functional profiling of 49 patients, and an integrative model was developed to predict the response. Our data unveil the molecular mechanisms that may inform strategies to boost specific T cell function to maintain long-term remission.

Indexed as

Immunotherapy, AdoptivePrecursor Cell Lymphoblastic Leukemia-LymphomaAntigens, CD19HumansProteomicsReceptors, Chimeric AntigenRecurrenceAntigens, CD19Receptors, Chimeric Antigen

Identifiers

PMID35675405
PMCPMC9177075

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.