Evidence map›Paper›PMID 40335685›Full record

ArticleNature biomedical engineering2025

Targeting inflammation with chimeric antigen receptor macrophages using a signal switch.

Qi Cao, Yiping Wang, Jianwei Chen, Ruifeng Wang, Titi Chen, Brian Gloss, Scott A Read, Xuerong Wang, Vincent W S Lee, Leighton Clancy and 5 more

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

32 citing papers in PubMed.

  1. Review
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  4. Article
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  9. Review
  10. Review
  11. Article
  12. Engineering Immune Cell to Counteract Aging and Aging-Associated Diseases.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  13. Review
  14. Review
  15. CAR-macrophages: a new chapter in cancer immunotherapy.Acta biochimica et biophysica Sinica · 2026
    Article
  16. Article
  17. Article
  18. 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

15 authors.

Qi Cao *Centre for Transplant and Renal Research, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia. qi.cao@sydney.edu.au.ORCID http://orcid.org/0000-0002-3546-0766
Yiping Wang *Centre for Transplant and Renal Research, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia.
Jianwei ChenCentre for Transplant and Renal Research, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia.
Ruifeng WangCentre for Transplant and Renal Research, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia.
Titi ChenCentre for Transplant and Renal Research, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia.
Brian GlossWestmead Research Hub, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia.
Scott A ReadStorr Liver Centre, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia.
Xuerong WangCentre for Transplant and Renal Research, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia.
Vincent W S LeeCentre for Transplant and Renal Research, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-9400-3696
Leighton ClancyBlood Transplant and Cell Therapies Laboratory, NSW Health Pathology-ICPMR Westmead, Sydney, New South Wales, Australia.
Natasha M RogersCentre for Transplant and Renal Research, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia.
Stephen I AlexanderCentre for Kidney Research, Children's Hospital at Westmead, Sydney, New South Wales, Australia.
Guoping ZhengCentre for Transplant and Renal Research, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia.
Di YuFaculty of Medicine, The University of Queensland Diamantina Institute, St Lucia, Queensland, Australia.ORCID http://orcid.org/0000-0003-1721-8922
David C H HarrisCentre for Transplant and Renal Research, Westmead Institute for Medical Research, The University of Sydney, Sydney, New South Wales, Australia. david.harris@sydney.edu.au.

Funding

Department of Health | National Health and Medical Research Council (NHMRC) 1195437Department of Health | National Health and Medical Research Council (NHMRC) 2008347Department of Health | National Health and Medical Research Council (NHMRC) 2012351
6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T-cell immunotherapy has shown great success in clinical cancer, bringing hope to apply CAR strategies to other clinical settings. Here we developed a CAR macrophage (CAR-M) that recognizes the major inflammatory molecule tumour necrosis factor (TNF) and activates an intracellular IL-4 signalling pathway, thereby programming engineered macrophages for an anti-inflammatory function. CAR-M therapy has exhibited efficacy in mouse models of both acute and chronic inflammatory diseases. In kidney ischaemia reperfusion injury (IRI), infused CAR-Ms switched to an anti-inflammatory phenotype in inflamed kidney and attenuated kidney IRI. The anti-inflammatory phenotype of infused CAR-Ms switched off during the recovery phase of kidney IRI, coinciding with the disappearance of TNF. In Adriamycin-induced nephropathy, a model of chronic inflammatory disease, infused CAR-Ms maintained an anti-inflammatory phenotype for several weeks in response to sustained high levels of TNF and improved kidney function and structure. CAR-Ms also effectively reduced tissue injury in another organ, the liver. Human anti-TNF CAR-Ms exhibit anti-inflammatory phenotype and function in response to TNF. The CAR-M design, using signal switching, holds promise for the treatment of a broad range of acute and chronic inflammatory diseases.

Indexed as

InflammationMacrophagesReceptors, Chimeric AntigenSignal TransductionAnimalsDisease Models, AnimalHumansImmunotherapy, AdoptiveInterleukin-4KidneyMaleMiceMice, Inbred C57BLReperfusion InjuryTumor Necrosis Factor-alphaInterleukin-4Receptors, Chimeric AntigenTumor Necrosis Factor-alpha

Identifiers

PMID40335685
PMCPMC12443588

What OpenQuestion holds

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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.