Evidence map›Paper›PMID 39213422›Full record

ArticleBlood advances2024

Local radiation enhances systemic CAR T-cell efficacy by augmenting antigen crosspresentation and T-cell infiltration.

Nektarios Kostopoulos, Francesca Costabile, Elisavet Krimitza, Silvia Beghi, Denisa Goia, Renzo Perales-Linares, George Thyfronitis, Michael J LaRiviere, Elise A Chong, Stephen J Schuster and 4 more

Abstract read
In one paragraph

Article in Blood advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
  2. Whole-body CD8Nature communications · 2025
    Trial
  3. Review
  4. Review
  5. Observational
  6. Article
  7. Focal radiotherapy improves CAR T cell therapy targeting prostate cancer.bioRxiv : the preprint server for biology · 2026
    Article
  8. Advances in targeted and cellular therapies for relapsed/refractory mantle cell lymphoma: immunotherapeutic strategies and challenges.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  9. Review
  10. Article
  11. Review
  12. Article
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  16. Article
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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

14 authors.

Nektarios KostopoulosDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.ORCID 0009-0002-6089-8142
Francesca CostabileDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-4784-4556
Elisavet KrimitzaDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.ORCID 0009-0008-3658-8965
Silvia BeghiDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-0029-4737
Denisa GoiaDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.
Renzo Perales-LinaresDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-5309-8249
George ThyfronitisDepartment of Biological Applications and Technology, University of Ioannina, Ioannina, Greece.
Michael J LaRiviereDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-1662-5086
Elise A ChongCenter for Cellular Immunotherapies, University of Pennsylvania School of Medicine, Philadelphia, PA.ORCID 0000-0001-8895-1625
Stephen J SchusterCenter for Cellular Immunotherapies, University of Pennsylvania School of Medicine, Philadelphia, PA.ORCID 0000-0002-3376-8978
Amit MaityDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.
Constantinos KoumenisDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-5945-4726
John P PlastarasDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.
Andrea FacciabeneDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-9563-297X

Funding

(PQ5) Mitochondria are endocellular symbionts that serve as targets for immune recognitionR01CA206012 · NCI · UNIVERSITY OF PENNSYLVANIA · PI FACCIABENE, ANDREA · 2016 to 2020
$2.0M
NCI NIH HHS R01 CA206012
6 · The paper itself

Abstract

abstractChimeric antigen receptor (CAR) T-cell therapy targeting CD19 (CART-19) represents a significant advance in the treatment of patients with relapsed or refractory CD19+ B-cell lymphomas. However, a significant portion of patients either relapse or fail to respond. Moreover, many patients have symptomatic disease, requiring bridging radiation therapy (RT) during the period of CAR T-cell manufacturing. To investigate the impact of 1 to 2 fractions of low-dose RT on CART-19 treatment response, we developed a mouse model using A20 lymphoma cells for CART-19 therapy. We found that low-dose fractionated RT had a positive effect on generating abscopal systemic antitumor responses beyond the irradiated site. The combination of RT with CART-19 therapy resulted in additive effects on tumor growth in irradiated masses. Notably, a significant additional increase in antitumor effect was observed in nonirradiated tumors. Mechanistically, our results validate activation of the cyclic guanosine adenosine synthetase/stimulator of interferon genes pathway, tumor-associated antigen crosspriming, and elicitation of epitope spreading. Collectively, our findings suggest that RT may serve as an optimal priming and bridging modality for CAR T-cell therapy, overcoming treatment resistance and improving clinical outcomes in patients with CD19+ hematologic malignancies.

Indexed as

Antigens, CD19Immunotherapy, AdoptiveReceptors, Chimeric AntigenT-LymphocytesAnimalsCell Line, TumorDisease Models, AnimalHumansLymphoma, B-CellMiceXenograft Model Antitumor AssaysAntigens, CD19Receptors, Chimeric Antigen

Identifiers

PMID39213422
PMCPMC11700247

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.