Evidence map›Paper›PMID 40973768›Full record

ArticleLeukemia2025

The endogenous T cell landscape is reshaped by CAR-T cell therapy and predicts treatment response in multiple myeloma.

Julia Frede, Julia C Poller, Kayleen Shi, Hannah Stuart, Noori Sotudeh, Claire Havig, Klothilda Lim, Caroline R M Wiggers, Eugene Y Cho, Tushara Vijaykumar and 15 more

Abstract read
In one paragraph

Article in Leukemia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Engineering the next generation of cellular therapies for solid tumors: multi-specific armored CARs and TME reprogramming strategies.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. 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

25 authors.

Julia Frede *Department of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA. julia.frede@tum.de.ORCID 0000-0002-4380-9673
Julia C Poller *Department of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.
Kayleen ShiDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.
Hannah StuartDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.
Noori SotudehDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.
Claire HavigHarvard Medical School, Boston, MA, USA.
Klothilda LimDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.
Caroline R M WiggersHarvard Medical School, Boston, MA, USA.ORCID 0000-0001-6633-1468
Eugene Y ChoHarvard Medical School, Boston, MA, USA.
Tushara VijaykumarDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.
Jianlin LiuDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.
Johannes M WaldschmidtDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0001-5340-1818
Monica S NairDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.
Praveen AnandDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0002-2478-7042
Valeriya DimitrovaHarvard Medical School, Boston, MA, USA.
Anna MontanaroHarvard Medical School, Boston, MA, USA.
Andrew J YeeHarvard Medical School, Boston, MA, USA.
Nikhil C MunshiDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0002-7344-9795
Kenneth C AndersonDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0002-6418-0886
Nathan MartinBristol Myers Squibb, Seattle, WA, USA.
Shari M KaiserBristol Myers Squibb, Seattle, WA, USA.
Marc-Steffen RaabHeidelberg Myeloma Center, Department of Medicine V, University Hospital and Medical Faculty, Heidelberg University, Heidelberg, Germany.ORCID 0000-0003-4181-6922
Noopur S RajeHarvard Medical School, Boston, MA, USA.
Birgit KnoechelHarvard Medical School, Boston, MA, USA. birgit.knoechel@hci.utah.edu.ORCID 0000-0002-8040-0535
Jens G LohrDepartment of Medical Oncology, Jerome Lipper Multiple Myeloma Center, Dana Farber Cancer Institute, Boston, MA, USA. jens.lohr@hci.utah.edu.ORCID 0000-0003-3486-2445

Funding

Targeting oncogenic TCR signaling in PTCLP01CA233412 · NCI · DANA-FARBER CANCER INST · PI ASTER, JON C. · 2019 to 2023
$8.7M
Mechanisms of immune evasion in T-cell acute lymphoblastic leukemia and its therapeutic implicationsR01CA249185 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI KNOECHEL, BIRGIT · 2021 to 2025
$1.9M
Liquid Biopsy in Myeloma to Inform Outcome and Treatment DecisionsR37CA276044 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jens G Lohr · 2023 to 2026
$1.5M
NCI NIH HHS P01 CA233412NCI NIH HHS R01 CA249185NCI NIH HHS R37 CA276044
6 · The paper itself

Abstract

While most patients initially respond to CAR-T cell treatment, responses often are not durable and subsequent lines of immunotherapy show diminishing success. In this study, we investigated the co-evolutionary dynamics between CAR-T cells and the immune microenvironment in myeloma patients undergoing anti-BCMA CAR-T cell therapy at single-cell resolution. Our findings highlight the transformative impact of CAR-T cell treatment on the endogenous T cell landscape. We identify a novel transitional CD8 + T cell population that is predictive of poor treatment outcomes. The emergence of this population coincides with the depletion of the endogenous T cell repertoire and compositional evolution of functional T cell subsets. These changes in the endogenous T cell compartment induced by CAR-T cell therapy may contribute to inadequate immune capacity and tumor control. Our findings highlight the potential of targeting TIM3/GAL9 interactions to mitigate T cell exhaustion, apoptosis and lack of persistence, offering promising avenues for optimizing T cell-based cancer immunotherapies. We provide a framework for assessing and manipulating the 'mileage' of the immune system as predictive marker and therapeutic opportunity to prevent repeated immunotherapies from becoming increasingly less successful, even when targeting distinct antigens.

Indexed as

CD8-Positive T-LymphocytesImmunotherapy, AdoptiveMultiple MyelomaReceptors, Chimeric AntigenT-LymphocytesHumansPrognosisTreatment OutcomeTumor MicroenvironmentReceptors, Chimeric Antigen

Identifiers

PMID40973768
PMCPMC12634420

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.