Evidence map›Paper›PMID 41545540›Full record

ArticleNature immunology2026

BACH2 regulates T cell lineage state to enhance CAR T cell function.

Tien-Ching Chang, Amanda Heard, John Lattin, John M Warrington, Amanda Barrett, Jack H Landmann, Yangdon Tenzin, Vishaal Ganesh, Bryant Thompson, Sadia Afrin and 16 more

Abstract read
In one paragraph

Article in Nature immunology, 2026. 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. Journal for immunotherapy of cancer · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. BACH2 the future.Nature immunology · 2026
    Article
  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

26 authors.

Tien-Ching ChangDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.ORCID http://orcid.org/0000-0003-0560-4930
Amanda HeardDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-7150-7998
John LattinCenter for Genetic and Cellular Immunotherapy, Washington University School of Medicine, St Louis, MO, USA.
John M WarringtonDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.ORCID http://orcid.org/0000-0001-6066-5491
Amanda BarrettDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.
Jack H LandmannDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.
Yangdon TenzinDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.
Vishaal GaneshDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.
Bryant ThompsonDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.
Sadia AfrinDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.
Deepesh Kumar GuptaDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.
Ju-Fang ChangDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.
Julie RitcheyDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.
Mehmet Emrah SelliDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-3478-8970
Yu-Sung HsuDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.
Haorui SongSaint Louis University School of Medicine, St Louis, MO, USA.ORCID http://orcid.org/0009-0005-6940-9298
A J FedericoDepartment of Genetics, Washington University School of Medicine, St Louis, MO, USA.
Avery HornDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.
Michael P MeersDepartment of Genetics, Washington University School of Medicine, St Louis, MO, USA.
Evan W WeberDivision of Oncology, Department of Pediatrics, The Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-5039-2899
Thomas J WandlessDepartment of Chemical and Systems Biology, Stanford University, Stanford, CA, USA.
Jeremy Chase CrawfordDepartment of Host-Microbe Interactions, St Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0003-4096-6048
Paul G ThomasDepartment of Host-Microbe Interactions, St Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0001-7955-0256
John F DiPersioDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA.ORCID http://orcid.org/0000-0002-0429-3133
Stephen GottschalkDepartment of Bone Marrow Transplantation and Cellular Therapy, St Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0003-3991-7468
Nathan SinghDivision of Oncology, Section of Cellular Therapies, Washington University School of Medicine, St Louis, MO, USA. nathan.singh@wustl.edu.ORCID http://orcid.org/0000-0002-0350-7574

Funding

Targeting the Bone Marrow Microenvironment In Acute Lymphocytic LeukemiaP50CA171963 · NCI · WASHINGTON UNIVERSITY · PI Daniel C Link · 2013 to 2026
$31.6M
NCI NIH HHS P50 CA171963
6 · The paper itself

Abstract

Nearly all chimeric antigen receptors (CARs) signal in the absence of antigen, referred to as 'tonic signaling'. Tonic signaling of CARs containing 41BB domains enhances T cell fitness and function, in contrast to the exhaustion driven by CD28-containing CARs. Here we show that 41BB induces BACH2, a transcriptional regulator that directs stem and memory programs. Overexpression of BACH2 successfully prevented exhaustion but locked CAR T cells in a quiescent state. We linked BACH2 to a degradation domain to tune BACH2, enabling us to prevent exhaustion while enabling potent effector function that broadly enhanced the long-term efficacy of CAR T cells targeting liquid and solid tumors. Through interrogation of clinical CAR products, we further found an association between BACH2 activity and clinical outcomes in patients with leukemia. These data identify a central function for BACH2 in regulating CAR T cell efficacy.

Indexed as

Basic-Leucine Zipper Transcription FactorsImmunotherapy, AdoptiveReceptors, Chimeric AntigenT-LymphocytesAnimalsCell LineageHumansLeukemiaMiceSignal TransductionT-Cell ExhaustionBACH2 protein, humanBasic-Leucine Zipper Transcription FactorsReceptors, Chimeric Antigen

Identifiers

PMID41545540
PMCPMC12979190

What OpenQuestion holds

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LicenceCC BY
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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.