Evidence map›Paper›PMID 41942445›Full record

ArticleNature communications2026

Influence of B cell-lineage targeted CAR-T cell therapy on humoral immunity and vaccine-induced antibody response.

Stosh Ozog, Elizabeth M Krantz, Karyn Tindbaek, Julian Munoz, Winnie L Liu, Clementine Chalal, Sara Pernikoff, Khaleel Yahya, Terry Stevens-Ayers, Sayan Dasgupta and 11 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Advances inFrontiers in immunology · 2026
    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

21 authors.

Stosh Ozog *Seattle Children's Hospital, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-2120-9140
Elizabeth M Krantz *Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Karyn TindbaekVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Julian MunozVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Winnie L LiuVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Clementine ChalalVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Sara PernikoffVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-3795-2932
Khaleel YahyaVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Terry Stevens-AyersVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-7546-8439
Sayan DasguptaVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-5271-7247
Andrew J CowanBC Cancer Agency, Vancouver, BC, Canada.
Damian J GreenSylvester Comprehensive Cancer Center, Miami, FL, USA.
Jordan GauthierClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-5769-8409
Brian G TillDivision of Hematology & Oncology, University of Washington School of Medicine, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-4718-8288
Rebecca A GardnerSeattle Children's Hospital, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-1532-3200
Mazyar ShadmanClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.
Marie BleakleySeattle Children's Hospital, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-7018-8702
Michael BoeckhVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0003-1538-7984
Jim BoonyaratanakornkitVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-5858-2662
Cameron J TurtleTranslational Science and Therapeutics Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-4722-4461
Joshua A HillVaccine and Infectious Disease Division, Fred Hutchinson Cancer Center, Seattle, WA, USA. jahill3@fredhutch.org.ORCID http://orcid.org/0000-0002-7665-7100

Funding

PEDIATRIC ONCOLOGY RESEARCH TRAINING PROGRAMT32CA009351 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Elizabeth R Lawlor, SOHEIL MESHINCHI · 1985 to 2026
$7.0M
Humoral immunity after CAR-T cell therapy for B cell malignancies: The HICAR StudyU01CA247548 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HILL, JOSHUA AIDEN · 2020 to 2024
$3.7M
Infection prevention strategies after CAR-T cell therapyK24AI190345 · NIAID · FRED HUTCHINSON CANCER CENTER · PI Joshua Aiden Hill · 2025 to 2026
$412k
NCI NIH HHS T32 CA009351NCI NIH HHS U01 CA247548NIAID NIH HHS K24 AI190345U.S. Department of Health & Human Services | National Institutes of Health (NIH) 5U01CA247548
6 · The paper itself

Abstract

Humoral immune-related adverse events, including hypogammaglobulinemia and B cell depletion, pose long-term infection risks after chimeric antigen receptor T cell therapy (CARTx) for hematologic malignancies. This prospective study evaluates the kinetics of pathogen-specific humoral immunity prior to and up to a year after CARTx targeting CD19 and CD20 (B cells) or BCMA (plasma cells) in 100 and 28 individuals, respectively. Antibodies are tested for 12 vaccine-preventable pathogens and using comprehensive high-throughput antibody profiling. A subset of 72 participants are evaluated for post-CARTx vaccine responses. Here, we show pathogen-specific humoral immunity does not significantly change after CD19-, CD20-, or BCMA-targeted CAR-T cell therapy (CARTx). However, seroprotective antibodies are absent for up to one-third of routine vaccine-preventable pathogens in CD19- and CD20-CARTx recipients and for nearly half of vaccine-preventable pathogens in BCMA-CARTx recipients by one-year post-CARTx. Pre-vaccination B cell count is the main predictor of vaccine response.

Indexed as

Antibody FormationB-LymphocytesHematologic NeoplasmsImmunity, HumoralImmunotherapy, AdoptiveReceptors, Chimeric AntigenAntigens, CD19Antigens, CD20B-Cell Maturation AntigenCell LineageFemaleHumansMaleProspective StudiesAntigens, CD19Antigens, CD20B-Cell Maturation AntigenReceptors, Chimeric Antigen

Identifiers

PMID41942445
PMCPMC13234265

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.