Evidence map›Paper›PMID 38182404›Full record

ArticleAnnals of the rheumatic diseases2024

CD19-targeting CAR T cells protect from ANCA-induced acute kidney injury.

Dörte Lodka, Maria Zschummel, Mario Bunse, Anthony Rousselle, Janis Sonnemann, Ralph Kettritz, Uta E Höpken, Adrian Schreiber

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06590545 (Anti-CD 19 CAR-T Cell Therapy in Patients With ANCA Vasculitis), which is not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
21.4field-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.

NCT06590545 phase1 / phase2not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Anti-CD 19 CAR-T Cell Therapy in Patients With ANCA Vasculitis: a Two-stage Interventional, Prospective, Open-label, Phase I/II Trial in Patients With Active, Treatment Refractory, ANCA-IgG-positive Vasculitis

TypeinterventionalSponsorDavid SimonRan2025 to 2027Enrolled8ConditionsANCA-IgG-positive ANCA Associated VasculitisArmsKYV-101, an autologous fully-human anti-CD19 CAR T-cell immunotherapy
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 51 citations in OpenAlex.

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  11. How to Cure Autoimmune GN and Podocytopathies.Journal of the American Society of Nephrology : JASN · 2026
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  20. CAR-T Cell Therapy for Autoimmune Kidney Diseases: Where Do We Stand Now?International journal of molecular sciences · 2025
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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

8 authors at 1 institution in 1 country.

Dörte LodkaExperimental and Clinical Research Center, Charité - Universitätsmedizin Berlin and Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.
Maria ZschummelMax Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.
Mario BunseMax Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.
Anthony RousselleExperimental and Clinical Research Center, Charité - Universitätsmedizin Berlin and Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.
Janis SonnemannExperimental and Clinical Research Center, Charité - Universitätsmedizin Berlin and Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.
Ralph KettritzExperimental and Clinical Research Center, Charité - Universitätsmedizin Berlin and Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.
Uta E HöpkenMax Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany.
Adrian SchreiberExperimental and Clinical Research Center, Charité - Universitätsmedizin Berlin and Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany adrian.schreiber@charite.de.ORCID http://orcid.org/0000-0003-1244-6379
Max Delbrück Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAnti-neutrophil cytoplasmic autoantibody (ANCA)-associated vasculitides (AAV) are life-threatening systemic autoimmune diseases manifesting in the kidneys as necrotizing crescentic glomerulonephritis (NCGN). ANCA antigens are myeloperoxidase (MPO) or proteinase 3. Current treatments include steroids, cytotoxic drugs and B cell-depleting antibodies. The use of chimeric antigen receptor (CAR) T cells in autoimmune diseases is a promising new therapeutic approach. We tested the hypothesis that CAR T cells targeting CD19 deplete B cells, including MPO-ANCA-producing B cells, thereby protecting from ANCA-induced NCGN.

methodsWe tested this hypothesis in a preclinical MPO-AAV mouse model. NCGN was established by immunisation of MPO

resultsCD19 CAR T cells efficiently migrated to and persisted in bone marrow, spleen, peripheral blood and kidneys for up to 8 weeks. CD19 CAR T cells, but not control CAR T cells, depleted B cells and plasmablasts, enhanced the MPO-ANCA decline, and most importantly protected from NCGN.

conclusionOur proof-of-principle study may encourage further exploration of CAR T cells as a treatment for ANCA-vasculitis patients with the goal of drug-free remission.

Indexed as

Acute Kidney InjuryAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisGlomerulonephritisAnimalsAntibodies, Antineutrophil CytoplasmicHumansMicePeroxidaseT-LymphocytesAntibodies, Antineutrophil CytoplasmicPeroxidaseAutoantibodiesAutoimmune DiseasesGranulomatosis with polyangiitisT-Lymphocyte subsetsVasculitis

Identifiers

PMID38182404
PMCPMC10958264
OpenAlexW4390645794

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.