Evidence map›Paper›PMID 36097221›Full record

ArticleNature medicine2022

Distinct cellular dynamics associated with response to CAR-T therapy for refractory B cell lymphoma.

Nicholas J Haradhvala, Mark B Leick, Katie Maurer, Satyen H Gohil, Rebecca C Larson, Ning Yao, Kathleen M E Gallagher, Katelin Katsis, Matthew J Frigault, Jackson Southard and 17 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 191 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
191citing papers in PubMed, 1 pooled it
23.4field-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

191 citing papers in PubMed, 1 synthesis or guideline pooled it, 238 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Axicabtagene Ciloleucel in Combination with Atezolizumab in Patients with Refractory Diffuse Large B-Cell Lymphoma: The Phase 1/2 ZUMA-6 Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  5. Trial
  6. Trial
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  9. Single-Cell RNA Analysis Reveals Cell-Intrinsic Functions of CAR T Cells Correlating with Response in a Phase II Study of Lymphoma Patients.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Trial
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Mapping clinical CAR-T cells: insights from scRNA-seq.Trends in molecular medicine · 2026
    Review
  18. BATF3 regulates differentiation of CD8Life science alliance · 2026
    Article
  19. Article
  20. Review

131 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 5 institutions in 2 countries.

Nicholas J Haradhvala *Harvard Graduate Program in Biophysics, Harvard University, Cambridge, MA, USA.ORCID http://orcid.org/0000-0003-1113-3135
Mark B Leick *Cancer Center, Massachusetts General Hospital, Boston, MA, USA.
Katie Maurer *Cancer Program, The Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-4160-181X
Satyen H Gohil *Cancer Program, The Broad Institute, Cambridge, MA, USA.
Rebecca C LarsonCancer Center, Massachusetts General Hospital, Boston, MA, USA.
Ning YaoCancer Program, The Broad Institute, Cambridge, MA, USA.
Kathleen M E GallagherCancer Center, Massachusetts General Hospital, Boston, MA, USA.
Katelin KatsisCancer Center, Massachusetts General Hospital, Boston, MA, USA.
Matthew J FrigaultCancer Center, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-6774-5694
Jackson SouthardDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Shuqiang LiCancer Program, The Broad Institute, Cambridge, MA, USA.
Michael C KannCancer Center, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5917-0296
Harrison SilvaCancer Center, Massachusetts General Hospital, Boston, MA, USA.
Max JanCancer Center, Massachusetts General Hospital, Boston, MA, USA.
Kahn RhrissorrakraiIBM Research, New York, NY, USA.
Filippo UtroIBM Research, New York, NY, USA.ORCID http://orcid.org/0000-0003-3226-7642
Chaya LevovitzIBM Research, New York, NY, USA.ORCID http://orcid.org/0000-0002-9251-2294
Raquel A JacobsCancer Program, The Broad Institute, Cambridge, MA, USA.
Kara SlowikCancer Program, The Broad Institute, Cambridge, MA, USA.
Brian P DanyshCancer Program, The Broad Institute, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-6839-6337
Kenneth J LivakDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0001-9105-5856
Laxmi ParidaIBM Research, New York, NY, USA.ORCID http://orcid.org/0000-0002-7872-5074
Judith FerryCancer Center, Massachusetts General Hospital, Boston, MA, USA.
Caron JacobsonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Catherine J WuCancer Program, The Broad Institute, Cambridge, MA, USA. cwu@partners.org.ORCID http://orcid.org/0000-0002-3348-5054
Gad GetzCancer Program, The Broad Institute, Cambridge, MA, USA. gadgetz@broadinstitute.org.ORCID http://orcid.org/0000-0002-0936-0753
Marcela V MausCancer Program, The Broad Institute, Cambridge, MA, USA. mvmaus@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-7578-0393
Broad Institute · USHarvard University · USIBM (United States) · USMassachusetts General Hospital · USDana-Farber Cancer Institute · US

Funding

TRAINING IN TRANSPLANTATION BIOLOGYT32AI007529 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MADSEN, JOREN C · 1998 to 2024
$6.4M
Efficacy and immune effects of anakinra prophylaxis for neurologic toxicity and cytokine release syndrome in patients with lymphoma receiving axicabtagene ciloleucelR01CA252940 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI MAUS, MARCELA VALDERRAMA · 2020 to 2024
$3.4M
Single cell investigation of co-evolution in cancer cells and host cell immune microenvironmentR50CA251956 · NCI · DANA-FARBER CANCER INST · PI Shuqiang Li · 2020 to 2026
$1.4M
NCI NIH HHS R01 CA252940NCI NIH HHS R50 CA251956NIAID NIH HHS T32 AI007529
6 · The paper itself

Abstract

Chimeric antigen receptor (CAR)-T cell therapy has revolutionized the treatment of hematologic malignancies. Approximately half of patients with refractory large B cell lymphomas achieve durable responses from CD19-targeting CAR-T treatment; however, failure mechanisms are identified in only a fraction of cases. To gain new insights into the basis of clinical response, we performed single-cell transcriptome sequencing of 105 pretreatment and post-treatment peripheral blood mononuclear cell samples, and infusion products collected from 32 individuals with large B cell lymphoma treated with either of two CD19 CAR-T products: axicabtagene ciloleucel (axi-cel) or tisagenlecleucel (tisa-cel). Expansion of proliferative memory-like CD8 clones was a hallmark of tisa-cel response, whereas axi-cel responders displayed more heterogeneous populations. Elevations in CAR-T regulatory cells among nonresponders to axi-cel were detected, and these populations were capable of suppressing conventional CAR-T cell expansion and driving late relapses in an in vivo model. Our analyses reveal the temporal dynamics of effective responses to CAR-T therapy, the distinct molecular phenotypes of CAR-T cells with differing designs, and the capacity for even small increases in CAR-T regulatory cells to drive relapse.

Indexed as

Biological ProductsLymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenAntigens, CD19HumansImmunotherapy, AdoptiveLeukocytes, MononuclearNeoplasm Recurrence, LocalAntigens, CD19Biological ProductsReceptors, Chimeric Antigen

Identifiers

PMID36097221
PMCPMC9509487
OpenAlexW4295454080

What OpenQuestion holds

Textmetadata
LicenceTDM
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.