Evidence map›Paper›PMID 40148310›Full record

ReviewCell death & disease2025

CAR-T therapy dilemma and innovative design strategies for next generation.

Zhiwei Wang, Peixian Li, Xiaoyu Zeng, Jing Guo, Cheng Zhang, Zusen Fan, Zhiwei Wang, Pingping Zhu, Zhenzhen Chen

Abstract readReview
In one paragraph

Review in Cell death & disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

26 citing papers in PubMed.

  1. Review
  2. Cellular immunotherapy in melanoma: the next frontier in cancer treatment.Journal of experimental & clinical cancer research : CR · 2026
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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

9 authors.

Zhiwei Wang *The First Affiliated Hospital of Henan University, 475004, Kaifeng, China.ORCID http://orcid.org/0000-0002-4476-8359
Peixian Li *School of Life Sciences, Zhengzhou University, 100 Kexue Road, Zhengzhou, 450001, China.
Xiaoyu ZengSchool of Life Sciences, Zhengzhou University, 100 Kexue Road, Zhengzhou, 450001, China.
Jing GuoSchool of Life Sciences, Zhengzhou University, 100 Kexue Road, Zhengzhou, 450001, China.
Cheng ZhangSchool of Life Sciences, Zhengzhou University, 100 Kexue Road, Zhengzhou, 450001, China.
Zusen FanCAS Key Laboratory of Infection and Immunity, CAS Center for Excellence in Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences, 100101, Beijing, China. fanz@moon.ibp.ac.cn.ORCID http://orcid.org/0000-0002-7866-8217
Zhiwei WangThe First Affiliated Hospital of Henan University, 475004, Kaifeng, China. wangzhiweizzu@163.com.
Pingping ZhuSchool of Life Sciences, Zhengzhou University, 100 Kexue Road, Zhengzhou, 450001, China.
Zhenzhen ChenSchool of Life Sciences, Zhengzhou University, 100 Kexue Road, Zhengzhou, 450001, China. chenzz2015@zzu.edu.cn.ORCID http://orcid.org/0000-0003-2093-4639

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor (CAR)-T-cell therapy has shown remarkable curative effects on hematological tumors, driving the exponential growth in CAR-T-related research. Although CD19-targeting CAR-T-cell therapy has displayed remarkable promise in clinical trials, many obstacles are arising that limit its therapeutic efficacy in tumor immunotherapy. The "dilemma" of CAR-T cell-based tumor therapy includes lethal cytotoxicity, restricted trafficking, limited tumor infiltration, an immunosuppressive microenvironment, immune resistance and limited potency. The solution to CAR-T-cell therapy's dilemma requires interdisciplinary strategies, including synthetic biology-based ON/OFF switch, bioinstructive scaffolds, nanomaterials, oncolytic viruses, CRISPR screening, intestinal microbiota and its metabolites. In this review, we will introduce and summarize these interdisciplinary-based innovative technologies for the next generation CAR-T-cell design and delivery to overcome the key barriers of current CAR-T cells.

Indexed as

Immunotherapy, AdoptiveNeoplasmsReceptors, Chimeric AntigenT-LymphocytesAnimalsHumansReceptors, Chimeric Antigen

Identifiers

PMID40148310
PMCPMC11950394

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.