Evidence map›Paper›PMID 39243253›Full record

ArticleCytotherapy2025

Expansion of tumor-infiltrating and marrow-infiltrating lymphocytes from pediatric malignant solid tumors.

Jonathan Metts, Madeline Rodriguez-Valentin, Jonathan Hensel, Alex Alfaro, Christopher W Snyder, Odion Binitie, Caroline Chebli, Hector Monforte, Shari Pilon-Thomas, John Mullinax

Abstract read
In one paragraph

Article in Cytotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
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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

10 authors.

Jonathan MettsCancer and Blood Disorders Institute, Johns Hopkins All Children's Hospital, St Petersburg, Florida, USA; Departments of Sarcoma, Immunology, and Cutaneous Oncology, Moffitt Cancer Center, Tampa, Florida, USA. Electronic address: jmetts1@jhmi.edu.
Madeline Rodriguez-ValentinDepartments of Sarcoma, Immunology, and Cutaneous Oncology, Moffitt Cancer Center, Tampa, Florida, USA.
Jonathan HenselQuorum Innovations, Sarasota, Florida, USA.
Alex AlfaroDepartments of Sarcoma, Immunology, and Cutaneous Oncology, Moffitt Cancer Center, Tampa, Florida, USA.
Christopher W SnyderDivision of Pediatric Surgery, Johns Hopkins All Children's Hospital, St Petersburg, Florida, USA.
Odion BinitieDepartments of Sarcoma, Immunology, and Cutaneous Oncology, Moffitt Cancer Center, Tampa, Florida, USA.
Caroline ChebliDepartment of Orthopedic Surgery, James A Haley Veteran's Administration Hospital, Tampa, Florida, USA.
Hector MonforteSection of Anatomic Pathology, Johns Hopkins All Children's Hospital, St Petersburg, Florida, USA.
Shari Pilon-ThomasDepartments of Sarcoma, Immunology, and Cutaneous Oncology, Moffitt Cancer Center, Tampa, Florida, USA.
John MullinaxDepartments of Sarcoma, Immunology, and Cutaneous Oncology, Moffitt Cancer Center, Tampa, Florida, USA.

Funding

Imaging Acidosis and Immune Therapy in PDACR01CA239219 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI IBRAHIM HASHIM, ARIG A, PILON-THOMAS, SHARI · 2020 to 2024
$3.4M
Predict radiation-induced shifts in patient-specific tumor immune ecosystem composition to harness immunological consequences of radiotherapyU01CA244100 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI ENDERLING, HEIKO, PILON-THOMAS, SHARI · 2020 to 2025
$2.6M
Mathematical Model-Guided Adoptive Immunotherapy in Bladder CancerR01CA259387 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI PILON-THOMAS, SHARI, REJNIAK, KATARZYNA ANNA · 2021 to 2025
$2.3M
Leveraging the Lymphocytic Infiltration of Soft Tissue Sarcoma for Autologous Cellular ImmunotherapyK08CA252642 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI MULLINAX, JOHN · 2020 to 2024
$1.2M
A low-cost topical immunotherapy formulation suitable for treating cervical cancer in low and middle income countries and low-resource settings in the U.S.R43CA257552 · NCI · MORPHOGENESIS, INC. · PI SHAMBLOTT, MICHAEL J · 2021 to 2021
$400k
NCI NIH HHS K08 CA252642NCI NIH HHS R01 CA239219NCI NIH HHS R01 CA259387NCI NIH HHS R43 CA257552NCI NIH HHS U01 CA244100
6 · The paper itself

Abstract

introductionThe expansion of tumor-infiltrating lymphocytes (TIL) for adoptive cellular therapy is under investigation in many solid tumors of adulthood. Marrow-infiltrating lymphocytes (MIL) have demonstrated antitumor reactivity preclinically. Successful expansion of TIL/MIL has not been reported across pediatric solid tumor histologies. The objective of this study was to demonstrate successful expansion of TIL from pediatric solid tumors for translation in an adoptive cell therapy (ACT) treatment strategy.

methodsA prospective study of TIL/MIL expansion was performed on solid tumors of pediatric patients undergoing standard-of-care procedures. TIL/MIL expansions were performed in the presence of high-dose interleukin 2. To demonstrate a full-scale expansion to clinically-relevant cell doses for TIL therapy, initial TIL culture was followed by a rapid expansion protocol for select patients. Expanded specimens were analyzed for phenotype by flow cytometry and for anti-tumor reactivity by the interferon-gamma release assay.

resultsEighteen tumor samples were obtained. Initial TIL cultures were successfully generated from 14/18 samples (77.7%). A median of 5.52 × 107 (range: 2.5 × 106-3.23 × 108) cells were produced from initial cultures, with 46.9% expressing a CD3 phenotype (46.9%). Eight samples underwent rapid expansion, demonstrating a median 458-fold expansion and a CD3 phenotype of 98%. Initial MIL cultures were successfully generated from five samples, with a predominantly CD3 phenotype (45.2%). Sufficient tumor tissue was only available for seven TIL samples to be tested for reactivity; none demonstrated responsiveness to autologous tumor.

conclusionsTIL and MIL expansion from pediatric solid tumors was successful, including the full-scale expansion process. This data supports translation to an ACT-TIL treatment strategy in the pediatric population and thus a Phase I trial of ACT-TIL in pediatric high-risk solid tumors is planned.

Indexed as

Immunotherapy, AdoptiveLymphocytes, Tumor-InfiltratingNeoplasmsAdolescentChildChild, PreschoolFemaleHumansInfantInterleukin-2MaleProspective StudiesInterleukin-2cellular therapyimmunotherapypediatricssolid tumorstumor-infiltrating lymphocytes

Identifiers

PMID39243253
PMCPMC11668621

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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.