Evidence map›Paper›PMID 37933565›Full record

ReviewLeukemia & lymphoma2023

Functional drivers of resistance to anti-CD19 CAR-T cell therapy in diffuse large B cell lymphoma.

Austin D Newsam, Caroline A Coughlin, Asaad Trabolsi, Jonathan H Schatz

Abstract readReview
In one paragraph

Review in Leukemia & lymphoma, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
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

4 authors.

Austin D NewsamMedical Scientist Training Program, University of Miami Miller School of Medicine, Miami, FL, USA.
Caroline A CoughlinMedical Scientist Training Program, University of Miami Miller School of Medicine, Miami, FL, USA.
Asaad TrabolsiSylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.
Jonathan H SchatzSylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.

Funding

Tumor Biology Research ProgramP30CA240139 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI George S. Grills · 2019 to 2026
$24.1M
Overcoming Drug Resistance Driven by BCL10 Mutations in Diffuse Large B Cell LymphomaF30CA265106 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI COUGHLIN, CAROLINE ALICE · 2021 to 2024
$209k
NCI NIH HHS F30 CA265106NCI NIH HHS P30 CA240139
6 · The paper itself

Abstract

Chimeric antigen receptor T-cell therapy targeting CD19 (CAR-19) promotes impressive durable remissions for relapsed or refractory (rel/ref) large B-cell lymphoma (LBCL) patients with historically poor prognoses. Despite this, over half of patients still fail to respond or eventually progress. Studies to reveal mechanisms of resistance have examined host clinical parameters, CAR-19 product composition, and tumor microenvironment (TME) alterations, while a relative paucity of studies has analyzed contributions by genomic alterations in tumor cells. Factors associated with outcome include increased tumor volume, specific characteristics of infused CAR-T products, infiltration by myeloid cells in tumor microenvironments, and markers of complexity in LBCL genomes. Functional laboratory studies of resistance are largely absent in the current literature, illustrating a need for experiments in genetically accurate immunocompetent systems to confirm candidate alterations' roles in resistance and inform future improvements. In this review, we highlight key studies that have elucidated biomarkers of resistance in hosts, CAR products, TMEs, and comparatively understudied tumor-intrinsic mediators encoded by tumor genomes. We conclude with an experimental framework suitable for CAR-19 resistance biomarker identification and laboratory functional validation.

Indexed as

Lymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenAntigens, CD19Cell- and Tissue-Based TherapyHumansImmunotherapy, AdoptiveReceptors, Antigen, T-CellT-LymphocytesTumor MicroenvironmentAntigens, CD19Receptors, Antigen, T-CellReceptors, Chimeric AntigenCAR-Tlymphomamechanismsresistance

Identifiers

PMID37933565
PMCPMC11195421

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.