Evidence map›Paper›PMID 40612954›Full record

ReviewFrontiers in immunology2025

CAR-T cell therapy in brain malignancies: obstacles in the face of cellular trafficking and persistence.

Serge Yaacoub, Elton Vannoy, Stefanyda Maslova, Abigail Haffey, Khatereh Khorsandi, Natasha Sheybani, Dalia Haydar

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Elimination of senescent cells fails to attenuate disease progression in an ALS mouse model.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  4. Review
  5. Review
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  7. 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

7 authors.

Serge YaacoubCenter for Cancer and Immunology Research, Children's National Hospital, Washington, DC, United States.
Elton VannoyCenter for Cancer and Immunology Research, Children's National Hospital, Washington, DC, United States.
Stefanyda MaslovaDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States.
Abigail HaffeyCenter for Cancer and Immunology Research, Children's National Hospital, Washington, DC, United States.
Khatereh KhorsandiCenter for Cancer and Immunology Research, Children's National Hospital, Washington, DC, United States.
Natasha SheybaniDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA, United States.
Dalia HaydarCenter for Cancer and Immunology Research, Children's National Hospital, Washington, DC, United States.

Funding

Immunoengineering Next-Generation Cancer Therapies with Focused UltrasoundDP5OD031846 · OD · UNIVERSITY OF VIRGINIA · PI SHEYBANI, NATASHA DIBA · 2021 to 2025
$2.0M
Improving CAR T cell therapy for brain tumors using immune competent modelsR00CA256262 · NCI · CHILDREN'S RESEARCH INSTITUTE · PI HAYDAR, DALIA · 2023 to 2025
$713k
Focused Ultrasound and CAR T Cells for Pediatric Brain MalignanciesR21CA292273 · NCI · UNIVERSITY OF VIRGINIA · PI Dalia Haydar, Natasha Diba Sheybani · 2025 to 2026
$438k
Improving CAR T cell therapy for brain tumors using immune competent modelsK99CA256262 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI HAYDAR, DALIA · 2021 to 2022
$250k
NCI NIH HHS K99 CA256262NCI NIH HHS R00 CA256262NCI NIH HHS R21 CA292273NIH HHS DP5 OD031846
6 · The paper itself

Abstract

Chimeric Antigen Receptor T (CAR-T) cell therapy offers substantial promise for the treatment of brain malignancies, yet its clinical translation remains limited. Tumors such as Glioblastoma Multiforme (GBM), Diffuse Intrinsic Pontine Glioma (DIPG), and Medulloblastoma (MB) are associated with poor prognoses and exhibit limited responsiveness to conventional treatment modalities, including radiotherapy, chemotherapy, and surgical resection. The application of CAR-T cell therapy in these contexts faces significant challenges, primarily in terms of efficient cellular trafficking into the tumor microenvironment and access to heterogeneous tumor regions. Furthermore, CAR-T cell persistence, defined by the long-term survival and functionality of infused cells, remains a critical hurdle in achieving durable therapeutic responses and preventing tumor relapses. This review aims to address the two predominant barriers, trafficking and persistence, by discussing the underlying mechanisms that limit CAR-T cell efficacy in brain tumors, reviewing current strategies aimed at overcoming these challenges, and evaluating novel approaches to enhance the effectiveness of CAR-T therapies in this setting.

Indexed as

Brain NeoplasmsImmunotherapy, AdoptiveReceptors, Chimeric AntigenT-LymphocytesAnimalsCell MovementHumansTumor MicroenvironmentReceptors, Chimeric AntigenCAR-T cellscellular exhaustionfocused ultrasoundpediatric brain tumorspersistencetargeted therapytraffickingtumor microenvironment

Identifiers

PMID40612954
PMCPMC12222291

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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.