Evidence map›Paper›PMID 41772175›Full record

ArticleNature biomedical engineering2026

MyD88-mediated chimaeric antigen receptor macrophages suppress brain metastasis using target-specific phagocytosis.

Shih-Ying Wu, Abhishek Tyagi, Kerui Wu, Eleanor C Smith, Qianqian Song, Sambad Sharma, Lance D Miller, Wei Zhang, Bo-Syong Pan, Hui-Kuan Lin and 13 more

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

23 authors.

Shih-Ying Wu *Department of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA. Shihying.Wu@advocatehealth.org.ORCID http://orcid.org/0000-0002-0439-0806
Abhishek Tyagi *Department of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.ORCID http://orcid.org/0000-0002-0155-2099
Kerui WuDepartment of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Eleanor C SmithDepartment of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Qianqian SongDepartment of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-4455-5302
Sambad SharmaNirogy Therapeutics, Natick, MA, USA.ORCID http://orcid.org/0000-0001-5184-8624
Lance D MillerDepartment of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Wei ZhangDepartment of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Bo-Syong PanDuke Department of Pathology, Duke University School of Medicine, Durham, NC, USA.
Hui-Kuan LinDuke Department of Pathology, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0002-3501-2410
Jung-Shun LeeDepartment of Cell Biology and Anatomy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Ashok PullikuthDepartment of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Fei XingDepartment of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Ravindra Pramod DeshpandeDepartment of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Dan ZhaoDepartment of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Yin LiuDepartment of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Jee Won KimDepartment of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Michael H SoikeDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, AL, USA.
Jimmy RuizDepartment of Medicine, Section of Oncology and Hematology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.ORCID http://orcid.org/0000-0002-7242-3315
Michael ChanDepartment of Radiation Oncology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Jeff ChouDepartment of Biostatistical Sciences, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Alexandra ParsonWake Forest University, Winston-Salem, NC, USA.
Kounosuke WatabeDepartment of Cancer Biology, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA. Kounosuke.Watabe@wfusm.edu.ORCID http://orcid.org/0000-0001-7441-6322

Funding

Roles of long-non-coding RNA, XIST, in brain metastasis of breast cancerR01CA205067 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WATABE, KOUNOSUKE · 2017 to 2021
$2.2M
Multi-modal insights of spatially distributed cells with associations of diseases and drug responseR35GM151089 · NIGMS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Qianqian Song · 2023 to 2026
$1.2M
Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) K99CA276895Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) R01CA185650Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) R01CA205067Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) RO1CA173499NCI NIH HHS R01 CA205067NIGMS NIH HHS R35 GM151089U.S. Department of Defense (United States Department of Defense) W81XWH2110075
6 · The paper itself

Abstract

Metastatic brain disease occurs in up to 30% of patients with lung, melanoma and breast cancers, and the median survival time remains less than a year. Treating these patients is a challenge because surgical approaches are limited and most chemotherapeutic drugs and immunotherapies are ineffective at crossing the blood-brain barrier (BBB). Given the unique abilities of macrophages to cross the BBB and exert their phagocytic function on tumour cells, we genetically engineer macrophages that express a chimaeric antigen receptor (CAR) targeting mesothelin (MSLN). To specifically target metastatic brain tumours, we fused the cells with the immune signalling molecule MyD88. This chimaeric antigen receptor macrophage (CARMA) penetrates the BBB and decreases brain metastasis growth in a humanized mouse model. MSLN-CARMA shows antigen-specific phagocytosis activity against tumour cells and exhibits a bystander effect by releasing TNF to act on surrounding tumour cells lacking the tumour antigen. These features of CARMA represent advantages over other immune therapies and CARMA may serve as a promising therapeutic tool for the treatment of brain metastasis.

Identifiers

PMID41772175
PMCPMC13277674

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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.