Evidence map›Paper›PMID 37256141›Full record

ReviewFrontiers in immunology2023

From bench to bedside: the history and progress of CAR T cell therapy.

Aroshi Mitra, Amrita Barua, Luping Huang, Siddhartha Ganguly, Qin Feng, Bin He

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 249 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
249citing papers in PubMed, 2 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

249 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. Blood cell-derived transplants at 40.Bone marrow transplantation · 2026
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189 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

6 authors.

Aroshi MitraCenter for Nuclear Receptors and Cell Signaling, Department of Biology and Biochemistry, University of Houston, Houston, TX, United States.
Amrita BaruaCenter for Nuclear Receptors and Cell Signaling, Department of Biology and Biochemistry, University of Houston, Houston, TX, United States.
Luping HuangImmunobiology and Transplant Science Center, Departments of Surgery and Urology, Houston Methodist Research Institute, Houston Methodist Hospital, Houston, TX, United States.
Siddhartha GangulyDepartment of Medicine, Weill Cornell Medicine, Cornell University, New York, NY, United States.
Qin FengCenter for Nuclear Receptors and Cell Signaling, Department of Biology and Biochemistry, University of Houston, Houston, TX, United States.
Bin HeImmunobiology and Transplant Science Center, Departments of Surgery and Urology, Houston Methodist Research Institute, Houston Methodist Hospital, Houston, TX, United States.

Funding

The Germ Cell Gene TDRD1 As A Novel Prostate Cancer BiomarkerR01CA211861 · NCI · METHODIST HOSPITAL RESEARCH INSTITUTE · PI HE, BIN · 2017 to 2021
$1.8M
Silencing of HIV-1 proviruses by epigenetically targeting transcriptional elongationR61AI133697 · NIAID · UNIVERSITY OF HOUSTON · PI FENG, QIN · 2017 to 2019
$1.2M
Silencing of HIV-1 proviruses by epigenetically targeting transcriptional elongationR33AI133697 · NIAID · UNIVERSITY OF HOUSTON · PI FENG, QIN · 2020 to 2021
$767k
NCI NIH HHS R01 CA211861NIAID NIH HHS R33 AI133697NIAID NIH HHS R61 AI133697
6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T cell therapy represents a major breakthrough in cancer care since the approval of tisagenlecleucel by the Food and Drug Administration in 2017 for the treatment of pediatric and young adult patients with relapsed or refractory acute lymphocytic leukemia. As of April 2023, six CAR T cell therapies have been approved, demonstrating unprecedented efficacy in patients with B-cell malignancies and multiple myeloma. However, adverse events such as cytokine release syndrome and immune effector cell-associated neurotoxicity pose significant challenges to CAR T cell therapy. The severity of these adverse events correlates with the pretreatment tumor burden, where a higher tumor burden results in more severe consequences. This observation is supported by the application of CD19-targeted CAR T cell therapy in autoimmune diseases including systemic lupus erythematosus and antisynthetase syndrome. These results indicate that initiating CAR T cell therapy early at low tumor burden or using debulking strategy prior to CAR T cell infusion may reduce the severity of adverse events. In addition, CAR T cell therapy is expensive and has limited effectiveness against solid tumors. In this article, we review the critical steps that led to this groundbreaking therapy and explore ongoing efforts to overcome these challenges. With the promise of more effective and safer CAR T cell therapies in development, we are optimistic that a broader range of cancer patients will benefit from this revolutionary therapy in the foreseeable future.

Indexed as

Multiple MyelomaNeurotoxicity SyndromesChildHumansImmunotherapy, AdoptiveLymphocytesUnited StatesYoung Adultcell-associated neurotoxicitycancer immunotherapychimeric antigen receptor (CAR T)cytokine release syndromeTCR - T cell receptortumor burden

Identifiers

PMID37256141
PMCPMC10225594

What OpenQuestion holds

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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.