Evidence map›Paper›PMID 36898734›Full record

ArticleJournal for immunotherapy of cancer2023

Anti-VEGF therapy improves EGFR-vIII-CAR-T cell delivery and efficacy in syngeneic glioblastoma models in mice.

Xinyue Dong, Jun Ren, Zohreh Amoozgar, Somin Lee, Meenal Datta, Sylvie Roberge, Mark Duquette, Dai Fukumura, Rakesh K Jain

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 2 pooled it
24.6field-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

96 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.

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36 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

9 authors at 1 institution in 1 country.

Xinyue Dong *Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-6674-5353
Jun Ren *Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-6358-0765
Zohreh AmoozgarDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-8285-8024
Somin LeeDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-9189-0384
Meenal DattaDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-5727-8992
Sylvie RobergeDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Mark DuquetteDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Dai FukumuraDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-9505-4444
Rakesh K JainDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA jain@steele.mgh.harvard.edu.ORCID 0000-0001-7571-3548
Massachusetts General Hospital · US

Funding

Dissecting Pediatric Brain Tumor Microenvironment to Improve TreatmentR35CA197743 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, RAKESH K. · 2015 to 2020
$5.7M
Targeting physical stress-driven mechanisms to overcome glioblastoma treatment resistanceU01CA261842 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, RAKESH K., MUNN, LANCE L. · 2021 to 2025
$3.1M
Reprogramming PDAC tumor microenvironment to improve immunotherapyU01CA224348 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BOUCHER, YVES, JAIN, RAKESH K. · 2017 to 2021
$2.9M
Improving treatment of HER2+ breast cancer brain metastasis by targeting lipid metabolismR01CA259253 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, RAKESH K., VANDER HEIDEN, MATTHEW G. · 2021 to 2025
$2.3M
Reengineering obesity-induced abnormal microenvironment to improve PDAC treatmentR01CA208205 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI FUKUMURA, DAI, JAIN, RAKESH K. · 2017 to 2020
$2.2M
Reprogramming the Tumor Microenvironment to Improve Immunotherapy of Glioblastoma by Co-Targeting VEGF and Ang2R01NS118929 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI FUKUMURA, DAI · 2021 to 2025
$2.0M
Reprogramming the tumormicroenvironment to improve immunotherapy of glioblastomaR01CA269672 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Rakesh K. Jain · 2022 to 2026
$1.9M
Establishing an immune mechanomeR35GM151041 · NIGMS · UNIVERSITY OF NOTRE DAME · PI Meenal Datta · 2023 to 2026
$1.7M
Targeting abnormal immunomechanics in the glioblastoma microenvironment to improve therapeutic responseK22CA258410 · NCI · UNIVERSITY OF NOTRE DAME · PI DATTA, MEENAL · 2021 to 2023
$573k
NCI NIH HHS K22 CA258410NCI NIH HHS R01 CA208205NCI NIH HHS R01 CA259253NCI NIH HHS R01 CA269672NCI NIH HHS R35 CA197743NCI NIH HHS U01 CA224348NCI NIH HHS U01 CA261842NIGMS NIH HHS R35 GM151041NINDS NIH HHS R01 NS118929
6 · The paper itself

Abstract

Chimeric antigen receptor (CAR)-T cells have revolutionized the treatment of multiple types of hematological malignancies, but have shown limited efficacy in patients with glioblastoma (GBM) or other solid tumors. This may be largely due to the immunosuppressive tumor microenvironment (TME) that compromises CAR-T cells' delivery and antitumor activity. We previously showed that blocking vascular endothelial growth factor (VEGF) signaling can normalize tumor vessels in murine and human tumors, including GBM, breast, liver, and rectal carcinomas. Moreover, we demonstrated that vascular normalization can improve the delivery of CD8+ T cells and the efficacy of immunotherapy in breast cancer models in mice. In fact, the US FDA (Food and drug administration) has approved seven different combinations of anti-VEGF drugs and immune checkpoint blockers for liver, kidney, lung and endometrial cancers in the past 3 years. Here, we tested the hypothesis that anti-VEGF therapy can improve the delivery and efficacy of CAR-T cells in immunocompetent mice bearing orthotopic GBM tumors. We engineered two syngeneic mouse GBM cell lines (CT2A and GSC005) to express EGFRvIII-one of the most common neoantigens in human GBM-and CAR T cells to recognize EGFRvIII. We found that treatment with the anti-mouse VEGF antibody (B20) improved CAR-T cell infiltration and distribution throughout the GBM TME, delayed tumor growth, and prolonged survival of GBM-bearing mice compared with EGFRvIII-CAR-T cell therapy alone. Our findings provide compelling data and a rationale for clinical evaluation of anti-VEGF agents with CAR T cells for GBM patients.

Indexed as

GlioblastomaAnimalsErbB ReceptorsHumansImmunotherapy, AdoptiveMiceTumor MicroenvironmentUnited StatesVascular Endothelial Growth Factor AVascular Endothelial Growth FactorsEGFR protein, humanErbB ReceptorsVascular Endothelial Growth Factor AVascular Endothelial Growth Factorstumor microenvironment

Identifiers

PMID36898734
PMCPMC10008211
OpenAlexW4323864565

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

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.