Evidence map›Paper›PMID 37669115›Full record

ArticleJCI insight2023

Tregs integrate native and CAR-mediated costimulatory signals for control of allograft rejection.

Isaac Rosado-Sánchez, Manjurul Haque, Kevin Salim, Madeleine Speck, Vivian Cw Fung, Dominic A Boardman, Majid Mojibian, Giorgio Raimondi, Megan K Levings

Abstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

  1. Review
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  4. Engineered CD40-biosensor-expressing Treg cells as a cell therapy approach for inflammatory diseases.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
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  11. HLA-A2 CAR/IL-2-CISC engineered Treg display robustMolecular therapy. Methods & clinical development · 2025
    Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Gene editing of CD3 epsilon to redirect regulatory T cells for adoptive T cell transfer.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  17. Review
  18. Article
  19. Review
  20. Review
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.

Isaac Rosado-SánchezBC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Manjurul HaqueBC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Kevin SalimBC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Madeleine SpeckBC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Vivian Cw FungBC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Dominic A BoardmanBC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Majid MojibianBC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
Giorgio RaimondiDepartment of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Megan K LevingsBC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tregs expressing chimeric antigen receptors (CAR-Tregs) are a promising tool to promote transplant tolerance. The relationship between CAR structure and Treg function was studied in xenogeneic, immunodeficient mice, revealing advantages of CD28-encoding CARs. However, these models could underrepresent interactions between CAR-Tregs, antigen-presenting cells (APCs), and donor-specific Abs. We generated Tregs expressing HLA-A2-specific CARs with different costimulatory domains and compared their function in vitro and in vivo using an immunocompetent model of transplantation. In vitro, the CD28-encoding CAR had superior antigen-specific suppression, proliferation, and cytokine production. In contrast, in vivo, Tregs expressing CARs encoding CD28, ICOS, programmed cell death 1, and GITR, but not 4-1BB or OX40, all extended skin allograft survival. To reconcile in vitro and in vivo data, we analyzed effects of a CAR encoding CD3ζ but no costimulatory domain. These data revealed that exogenous costimulation from APCs can compensate for the lack of a CAR-encoded CD28 domain. Thus, Tregs expressing a CAR with or without CD28 are functionally equivalent in vivo, mediating similar extension of skin allograft survival and controlling the generation of anti-HLA-A2 alloantibodies. This study reveals a dimension of CAR-Treg biology and has important implications for the design of CARs for clinical use in Tregs.

Indexed as

Receptors, Chimeric AntigenAllograftsAnimalsCD28 AntigensMiceT-Lymphocytes, RegulatoryTransplantation, HomologousCD28 AntigensReceptors, Chimeric AntigenCostimulationImmunologyImmunotherapyToleranceTransplantation

Identifiers

PMID37669115
PMCPMC10619441

What OpenQuestion holds

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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.