Evidence map›Paper›PMID 35677038›Full record

ReviewFrontiers in immunology2022

Immunogenicity of CAR-T Cell Therapeutics: Evidence, Mechanism and Mitigation.

Aalia N Khan, Ambalika Chowdhury, Atharva Karulkar, Ankesh Kumar Jaiswal, Ankit Banik, Sweety Asija, Rahul Purwar

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 pooled it
9.9field-weighted citation impact, top 1% 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

78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

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18 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

7 authors at 1 institution in 1 country.

Aalia N KhanDepartment of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Mumbai, India.
Ambalika ChowdhuryDepartment of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Mumbai, India.
Atharva KarulkarDepartment of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Mumbai, India.
Ankesh Kumar JaiswalDepartment of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Mumbai, India.
Ankit BanikDepartment of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Mumbai, India.
Sweety AsijaDepartment of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Mumbai, India.
Rahul PurwarDepartment of Biosciences and Bioengineering, Indian Institute of Technology Bombay, Mumbai, India.
Indian Institute of Technology Bombay · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor T cell (CAR-T) therapy demonstrated remarkable success in long-term remission of cancers and other autoimmune diseases. Currently, six products (Kymriah, Yescarta, Tecartus, Breyanzi, Abecma, and Carvykti) are approved by the US-FDA for treatment of a few hematological malignancies. All the six products are autologous CAR-T cell therapies, where delivery of CAR, which comprises of scFv (single-chain variable fragment) derived from monoclonal antibodies for tumor target antigen recognition is through a lentiviral vector. Although available CAR-T therapies yielded impressive response rates in a large number of patients in comparison to conventional treatment strategies, there are potential challenges in the field which limit their efficacy. One of the major challenges is the induction of humoral and/or cellular immune response in patients elicited due to scFv domain of CAR construct, which is of non-human origin in majority of the commercially available products. Generation of anti-CAR antibodies may lead to the clearance of the therapeutic CAR-T cells, increasing the likelihood of tumor relapse and lower the CAR-T cells efficacy upon reinfusion. These immune responses influence CAR-T cell expansion and persistence, that might affect the overall clinical response. In this review, we will discuss the impact of immunogenicity of the CAR transgene on treatment outcomes. Finally, this review will highlight the mitigation strategies to limit the immunogenic potential of CARs and improve the therapeutic outcome.

Indexed as

Immunotherapy, AdoptiveReceptors, Chimeric AntigenHumansNeoplasm Recurrence, LocalT-LymphocytesReceptors, Chimeric Antigenanti-CAR antibodiescellular immunitychimeric antigen receptorimmunogenicitymonoclonal antibodiespersistencescFv

Identifiers

PMID35677038
PMCPMC9169153
OpenAlexW4281393714

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.