Evidence map›Paper›PMID 40128569›Full record

ArticleNature cancer2025

CAR T or NK cells targeting mismatched HLA-DR molecules in acute myeloid leukemia after allogeneic hematopoietic stem cell transplant.

Shunya Ikeda, Kana Hasegawa, Yosuke Kogue, Takao Arimori, Ryuhei Kawamoto, Tansri Wibowo, Moto Yaga, Yuri Inada, Hirofumi Uehara, Miwa Matsubara and 41 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Recent advances in CAR T and CAR NK cell therapy for AML.International journal of hematology · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
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

51 authors.

Shunya Ikeda *World Premier Interenational Immunology Frontier Research Center, Osaka University, Osaka, Japan.
Kana Hasegawa *World Premier Interenational Immunology Frontier Research Center, Osaka University, Osaka, Japan.
Yosuke Kogue *Osaka Research Center for Drug Discovery, Otsuka Pharmaceutical Company, Osaka, Japan.
Takao ArimoriInstitute for Protein Research, Osaka University, Osaka, Japan.
Ryuhei KawamotoDepartment of Clinical Laboratory and Biomedical Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.
Tansri WibowoDepartment of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, Japan.
Moto YagaDepartment of Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0001-6649-6887
Yuri InadaDepartment of Clinical Laboratory and Biomedical Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.
Hirofumi UeharaDepartment of Clinical Laboratory and Biomedical Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.
Miwa MatsubaraDepartment of Clinical Laboratory and Biomedical Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.
Mana TachikawaDepartment of Clinical Laboratory and Biomedical Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.
Makiko SugaDepartment of Hematology and Oncology, Osaka University Graduate School of Medicine, Osaka, Japan.
Shuhei KidaDepartment of Hematology and Oncology, Osaka University Graduate School of Medicine, Osaka, Japan.
Kumi ShibataDepartment of Hematology and Oncology, Osaka University Graduate School of Medicine, Osaka, Japan.
Kazuhito TsutsumiDepartment of Hematology and Oncology, Osaka University Graduate School of Medicine, Osaka, Japan.
Kentaro FukushimaDepartment of Hematology and Oncology, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0002-8003-2584
Jiro FujitaDepartment of Hematology and Oncology, Osaka University Graduate School of Medicine, Osaka, Japan.
Tomoaki UedaDepartment of Hematology and Oncology, Osaka University Graduate School of Medicine, Osaka, Japan.
Shinsuke KusakabeDepartment of Hematology and Oncology, Osaka University Graduate School of Medicine, Osaka, Japan.
Akihisa HinoDepartment of Hematology and Oncology, Osaka University Graduate School of Medicine, Osaka, Japan.
Michiko IchiiDepartment of Hematology and Oncology, Osaka University Graduate School of Medicine, Osaka, Japan.
Asao HiroseDepartment of Hematology, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Hirohisa NakamaeDepartment of Hematology, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0003-4203-990X
Masayuki HinoDepartment of Hematology, Osaka Metropolitan University Graduate School of Medicine, Osaka, Japan.
Takafumi NakaoDepartment of Hematology, Osaka City General Hospital, Osaka, Japan.
Megumu InoueDepartment of Hematology, Itami City Hospital, Hyogo, Japan.
Kyoko YoshiharaDepartment of Hematology, Hyogo Medical University Hospital, Hyogo, Japan.
Satoshi YoshiharaDepartment of Hematology, Hyogo Medical University Hospital, Hyogo, Japan.ORCID http://orcid.org/0000-0002-8537-2422
Shuji UedaDepartment of Hematology, Hyogo Prefectural Nishinomiya Hospital, Hyogo, Japan.
Tetsuro TachiDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Hideki KurodaDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Koki MurakamiDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Noriyuki KijimaDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Haruhiko KishimaDepartment of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0002-9041-2337
Eri IgashiraLaboratory of Immune Regulation, Department of Microbiology and Immunology, Osaka University Graduate School of Medicine, Osaka, Japan.
Mari MurakamiLaboratory of Immune Regulation, Department of Microbiology and Immunology, Osaka University Graduate School of Medicine, Osaka, Japan.
Tsuyoshi TakiuchiDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0002-0605-5219
Tadashi KimuraDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan.
Takashi HiroshimaDepartment of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Toru KimuraDepartment of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0003-4504-232X
Yasushi ShintaniDepartment of General Thoracic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0002-2540-5288
Chihaya ImaiDepartment of Pediatrics, Faculty of Medicine, University of Toyama, Toyama, Japan.ORCID http://orcid.org/0000-0001-7435-3464
Kosuke YusaStem Cell Genetics, Institute for Life and Medical Sciences, Kyoto University, Kyoto, Japan.
Ryota MoriDepartment of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0001-6119-2032
Takayuki OginoDepartment of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Hidetoshi EguchiDepartment of Gastroenterological Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Kiyoshi TakedaWorld Premier Interenational Immunology Frontier Research Center, Osaka University, Osaka, Japan.
Yusuke OjiDepartment of Clinical Laboratory and Biomedical Sciences, Osaka University Graduate School of Medicine, Osaka, Japan.
Atsushi KumanogohWorld Premier Interenational Immunology Frontier Research Center, Osaka University, Osaka, Japan.ORCID http://orcid.org/0000-0003-4749-7117
Junichi TakagiInstitute for Protein Research, Osaka University, Osaka, Japan.
Naoki HosenWorld Premier Interenational Immunology Frontier Research Center, Osaka University, Osaka, Japan. hnaoki@bldon.med.osaka-u.ac.jp.ORCID http://orcid.org/0000-0001-9570-0947

Funding

Japan Agency for Medical Research and Development (AMED) 20cn016361h0002Japan Agency for Medical Research and Development (AMED) 21bm0404076h001Japan Agency for Medical Research and Development (AMED) 22cm016381h002Japan Agency for Medical Research and Development (AMED) 23ck0106819h001Japan Agency for Medical Research and Development (AMED) JP23ama121011MEXT | Japan Society for the Promotion of Science (JSPS) JP19K16799MEXT | Japan Society for the Promotion of Science (JSPS) JP20H03710MEXT | Japan Society for the Promotion of Science (JSPS) JP21K15487MEXT | Japan Society for the Promotion of Science (JSPS) JP26461404
6 · The paper itself

Abstract

Acute myeloid leukemia (AML)-specific target antigens are difficult to identify. Here we demonstrate that HLA-DRB1 can serve as a leukemia-specific target of chimeric antigen receptor (CAR) T cells in patients with AML after allogeneic hematopoietic stem cell transplantation (allo-HCT). We identified KG2032 as a monoclonal antibody specifically bound to AML cells in about half of patients, but not to normal leukocytes other than B lymphocytes. KG2032 reacted with a subset of HLA-DRB1 molecules, specifically those in which the 86th amino acid was not aspartic acid. KG2032 reacted minimally with nonhematopoietic tissues. These results indicate that KG2032 reactivity is highly specific for AML cells in patients who carry KG2032-reactive HLA-DRB1 alleles and who received allo-HCT from a donor carrying KG2032-nonreactive HLA-DRB1 alleles. KG2032-derived CAR T or natural killer cells showed significant anti-leukemic activity in preclinical models in female mice, suggesting that they may cure patients with AML who are incurable with allo-HCT.

Indexed as

Hematopoietic Stem Cell TransplantationHLA-DRB1 ChainsImmunotherapy, AdoptiveKiller Cells, NaturalLeukemia, Myeloid, AcuteReceptors, Chimeric AntigenT-LymphocytesAdultAnimalsAntibodies, MonoclonalFemaleHumansMaleMiceMiddle AgedTransplantation, HomologousAntibodies, MonoclonalHLA-DRB1 ChainsReceptors, Chimeric Antigen

Identifiers

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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.