Evidence map›Paper›PMID 36658341›Full record

ArticleNature biotechnology2023

Precision targeting of autoantigen-specific B cells in muscle-specific tyrosine kinase myasthenia gravis with chimeric autoantibody receptor T cells.

Sangwook Oh, Xuming Mao, Silvio Manfredo-Vieira, Jinmin Lee, Darshil Patel, Eun Jung Choi, Andrea Alvarado, Ebony Cottman-Thomas, Damian Maseda, Patricia Y Tsao and 9 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Nature biotechnology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 103 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 1 pooled it
36.1field-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

103 citing papers in PubMed, 1 synthesis or guideline pooled it, 158 citations in OpenAlex.

  1. Pooled it
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  12. T cell engagers in autoimmune diseases.Nature reviews. Immunology · 2026
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  19. Immune reset and immune retune: approaching cure?Nature reviews. Rheumatology · 2026
    Article
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43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 1 country.

Sangwook OhDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-0092-9031
Xuming MaoDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-4232-8103
Silvio Manfredo-VieiraDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-8036-4223
Jinmin LeeCabaletta Bio, Philadelphia, PA, USA.
Darshil PatelCabaletta Bio, Philadelphia, PA, USA.
Eun Jung ChoiDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Andrea AlvaradoCabaletta Bio, Philadelphia, PA, USA.
Ebony Cottman-ThomasCabaletta Bio, Philadelphia, PA, USA.
Damian MasedaDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-0722-6881
Patricia Y TsaoDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-8800-1846
Christoph T EllebrechtDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Sami L KhellaDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
David P RichmanDepartment of Neurology, University of California - Davis, Davis, CA, USA.
Kevin C O'ConnorDepartments of Neurology and Immunobiology, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-7056-419X
Uri HerzbergCabaletta Bio, Philadelphia, PA, USA.
Gwendolyn K BinderCabaletta Bio, Philadelphia, PA, USA.
Michael C MiloneDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Samik BasuCabaletta Bio, Philadelphia, PA, USA. samik.basu@cabalettabio.com.
Aimee S PayneDepartment of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. aimee.payne@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0001-9389-7918
University of Pennsylvania · USUniversity of California, Davis · USYale University · US

Funding

Rare Disease Network for Myasthenia GravisU54NS115054 · NINDS · GEORGE WASHINGTON UNIVERSITY · PI HENRY J KAMINSKI · 2019 to 2026
$11.9M
Mechanisms of autoimmunity in myasthenia gravisR01AI114780 · NIAID · YALE UNIVERSITY · PI Kevin C O'Connor · 2016 to 2026
$4.7M
University of Pennsylvania Clinical Autoimmunity Center of ExcellenceUM1AI144288 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI BAR-OR, AMIT, PAYNE, AIMEE S · 2019 to 2023
$551k
Novel Approaches for Investigating the Pathology of Myasthenia Gravis AutoantibodiesR21AI142198 · NIAID · YALE UNIVERSITY · PI O'CONNOR, KEVIN C · 2019 to 2020
$395k
NIAID NIH HHS R01 AI114780NIAID NIH HHS R21 AI142198NIAID NIH HHS UM1 AI144288NINDS NIH HHS U54 NS115054
6 · The paper itself

Abstract

Muscle-specific tyrosine kinase myasthenia gravis (MuSK MG) is an autoimmune disease that causes life-threatening muscle weakness due to anti-MuSK autoantibodies that disrupt neuromuscular junction signaling. To avoid chronic immunosuppression from current therapies, we engineered T cells to express a MuSK chimeric autoantibody receptor with CD137-CD3ζ signaling domains (MuSK-CAART) for precision targeting of B cells expressing anti-MuSK autoantibodies. MuSK-CAART demonstrated similar efficacy as anti-CD19 chimeric antigen receptor T cells for depletion of anti-MuSK B cells and retained cytolytic activity in the presence of soluble anti-MuSK antibodies. In an experimental autoimmune MG mouse model, MuSK-CAART reduced anti-MuSK IgG without decreasing B cells or total IgG levels, reflecting MuSK-specific B cell depletion. Specific off-target interactions of MuSK-CAART were not identified in vivo, in primary human cell screens or by high-throughput human membrane proteome array. These data contributed to an investigational new drug application and phase 1 clinical study design for MuSK-CAART for the treatment of MuSK autoantibody-positive MG.

Indexed as

Myasthenia Gravis, Autoimmune, ExperimentalReceptors, CholinergicAnimalsAutoantibodiesAutoantigensHumansImmunoglobulin GMiceMusclesProtein-Tyrosine KinasesT-LymphocytesAutoantibodiesAutoantigensImmunoglobulin GProtein-Tyrosine KinasesReceptors, Cholinergic

Identifiers

PMID36658341
PMCPMC10354218
OpenAlexW4317502672

What OpenQuestion holds

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LicenceCC BY
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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.