Evidence map›Paper›PMID 41571297›Full record

ArticleJournal for immunotherapy of cancer2026

RIG-I agonists promote antigen-spreading and facilitate durable CAR-T responses in pancreatic ductal adenocarcinoma.

Anne Marie Senz, Bruno L Cadilha, Julia Teppert, Simone Formisano, Charlotte Marx, Theo Lorenzini, Daniel F R Boehmer, Christine Hoerth, Simon Delahais, Stefan Endres and 4 more

Abstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Anne Marie Senz *Institute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Bruno L Cadilha *Department of Internal Medicine III, Hematology and Oncology, University Hospital Regensburg, Regensburg, Germany.
Julia TeppertInstitute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Simone FormisanoInstitute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Charlotte MarxInstitute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Theo LorenziniInstitute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Daniel F R BoehmerInstitute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Christine HoerthInstitute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Simon DelahaisInstitute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Stefan EndresInstitute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-4703-537X
Peter DuewellInstitute of Innate Immunity, University Hospital Bonn, Bonn, Germany.ORCID http://orcid.org/0000-0003-0836-6448
Max SchnurrInstitute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.
Sebastian KoboldInstitute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-5612-4673
Lars M KoenigInstitute of Clinical Pharmacology, LMU University Hospital, LMU Munich, Munich, Germany lars.koenig@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-8348-7787

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic ductal adenocarcinoma (PDAC) remains largely refractory to chimeric antigen receptor (CAR)-T cell therapy. Insufficient T cell infiltration, a highly immunosuppressive microenvironment, and antigen loss pose major challenges for CAR-T cell therapy.

methodsWe investigated therapeutic synergies of synthetic 5'-triphosphate RNA (3p-RNA), an agonist of the cytoplasmic double-stranded RNA sensor Retinoic Acid Inducible Gene I (RIG-I), and CAR-T cell therapy using syngeneic and human xenograft PDAC models. Tumor growth, chemokine secretion, immune-cell composition, CAR-T persistence, and endogenous T cell responses were assessed by flow cytometry, multiplex cytokine arrays, Enzyme-linked Immunospot (ELISpot), and vaccination-challenge.

results3p-RNA provoked rapid type I interferon accompanied with chemokine ligand CCL5 and CXCL9/10/11 secretion, creating chemokine gradients that recruited chemokine receptor CCR5

conclusionsIntratumoral RIG-I priming reprograms the PDAC microenvironment, transforming a non-responsive cancer into a CAR-T-permissive one, supporting durable, poly-antigenic immunity. These findings position 3p-RNA as a rapid, clinically tractable co-therapy to extend CAR-T efficacy to solid tumors.

Indexed as

Carcinoma, Pancreatic DuctalDEAD Box Protein 58Immunotherapy, AdoptivePancreatic NeoplasmsReceptors, Chimeric AntigenReceptors, ImmunologicAnimalsCell Line, TumorFemaleHumansMiceT-LymphocytesXenograft Model Antitumor AssaysDEAD Box Protein 58Receptors, Chimeric AntigenReceptors, ImmunologicRIGI protein, humanChimeric antigen receptor - CARImmunotherapyInnateIntratumoralT cell

Identifiers

PMID41571297
PMCPMC12829383

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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.