Evidence map›Paper›PMID 38838132›Full record

ArticleScience translational medicine2024

Comparative analysis of Bcl-2 family protein overexpression in CAR T cells alone and in combination with BH3 mimetics.

Felix Korell, Michael L Olson, Diego Salas-Benito, Mark B Leick, Rebecca C Larson, Amanda Bouffard, Harrison Silva, Alessandro Gasparetto, Trisha R Berger, Michael C Kann and 7 more

Abstract readComparative Study
In one paragraph

Article in Science translational medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

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  20. Focusing on CD8Journal of experimental & clinical cancer research : CR · 2024
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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

17 authors.

Felix KorellCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0000-0001-7699-7212
Michael L OlsonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.ORCID 0000-0002-1566-2029
Diego Salas-BenitoCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0000-0002-8995-1499
Mark B LeickCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0000-0003-3111-0221
Rebecca C LarsonCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0000-0003-0174-061X
Amanda BouffardCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.
Harrison SilvaCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0000-0003-4386-0847
Alessandro GasparettoCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0000-0003-1665-3594
Trisha R BergerCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0000-0003-3439-3239
Michael C KannCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0000-0002-5917-0296
Markus MergenCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0009-0007-7753-2784
Tamina KienkaCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.
Marc WehrliCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0000-0001-7915-5862
Nicholas J HaradhvalaBroad Institute of Harvard University and Massachusetts Institute of Technology, Cambridge, MA 02142, USA.ORCID 0000-0003-1113-3135
Stefanie R BaileyCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0000-0002-1175-521X
Anthony LetaiDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.ORCID 0000-0002-1993-9013
Marcela V MausCellular Immunotherapy Program, Massachusetts General Hospital Cancer Center, Charlestown, MA 02129, USA.ORCID 0000-0002-7578-0393

Funding

Medical Scientist Training ProgramT32GM144273 · NIGMS · HARVARD MEDICAL SCHOOL · PI David Shumway Jones, Jacqueline A. Lees · 2022 to 2026
$14.7M
TRAINING IN TRANSPLANTATION BIOLOGYT32AI007529 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MADSEN, JOREN C · 1998 to 2024
$6.4M
Understanding and manipulating programmed cell death (PCD) pathways to facilitate lymphoid tumor killing by CAR T cellsR01CA249062 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI MAUS, MARCELA VALDERRAMA · 2021 to 2025
$3.5M
NCI NIH HHS R01 CA249062NIAID NIH HHS T32 AI007529NIGMS NIH HHS T32 GM144273
6 · The paper itself

Abstract

Approximately 50% of patients with hematologic malignancies relapse after chimeric antigen receptor (CAR) T cell treatment; mechanisms of failure include loss of CAR T persistence and tumor resistance to apoptosis. We hypothesized that both of these challenges could potentially be overcome by overexpressing one or more of the Bcl-2 family proteins in CAR T cells to reduce their susceptibility to apoptosis, both alone and in the presence of BH3 mimetics, which can be used to activate apoptotic machinery in malignant cells. We comprehensively investigated overexpression of different Bcl-2 family proteins in CAR T cells with different signaling domains as well as in different tumor types. We found that Bcl-xL and Bcl-2 overexpression in CAR T cells bearing a 4-1BB costimulatory domain resulted in increased expansion and antitumor activity, reduced exhaustion, and decreased apoptotic priming. In addition, CAR T cells expressing either Bcl-xL or a venetoclax-resistant Bcl-2 variant led to enhanced antitumor efficacy and survival in murine xenograft models of lymphoma and leukemia in the presence or absence of the BH3 mimetic venetoclax, a clinically approved BH3 mimetic. In this setting, Bcl-xL overexpression had stronger effects than overexpression of Bcl-2 or the Bcl-2(G101V) variant. These findings suggest that CAR T cells could be optimally engineered by overexpressing Bcl-xL to enhance their persistence while opening a therapeutic window for combination with BH3 mimetics to prime tumors for apoptosis.

Indexed as

ApoptosisBridged Bicyclo Compounds, HeterocyclicProto-Oncogene Proteins c-bcl-2Receptors, Chimeric AntigenSulfonamidesAnimalsbcl-X ProteinCell Line, TumorHumansImmunotherapy, AdoptiveMicePeptide FragmentsProto-Oncogene ProteinsT-LymphocytesXenograft Model Antitumor AssaysBax protein (53-86)bcl-X ProteinBridged Bicyclo Compounds, HeterocyclicPeptide FragmentsProto-Oncogene ProteinsProto-Oncogene Proteins c-bcl-2Receptors, Chimeric AntigenSulfonamidesvenetoclax

Identifiers

PMID38838132
PMCPMC11737343

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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.