Evidence map›Paper›PMID 42320984›Full record

ArticleJournal for immunotherapy of cancer2026

Differential cytokine architecture in patients treated with CART19 versus CART22.

Caroline Diorio, Rawan Shraim, Anusha Thadi, Anastasia Frank-Kamenetskii, Lahari Uppuluri, Hannah Klinghoffer, Zachary Martinez, Apoorva Babu, Regina M Myers, Joseph A Fraietta and 17 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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

27 authors.

Caroline DiorioDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA DIORIOC@chop.edu.ORCID http://orcid.org/0000-0002-8005-3836
Rawan ShraimDivision of Oncology and Center for Childhood Cancer Research, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0009-0005-5350-3386
Anusha ThadiDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Anastasia Frank-KamenetskiiImmune Dysregulation Program, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Lahari UppuluriDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-7217-892X
Hannah KlinghofferImmune Dysregulation Program, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Zachary MartinezDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Apoorva BabuDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Regina M MyersDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-2542-2061
Joseph A FraiettaAbramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Andrew HughesDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Jonathan SussmanDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Jason XuDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Susan E McCloryDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Katherine MuellerDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Jessica PerazzelliDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Laura A VellaImmune Dysregulation Program, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Sarah E HenricksonImmune Dysregulation Program, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Marco RuellaAbramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Edward M BehrensImmune Dysregulation Program, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Amanda M DiNofiaDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Janis K BurkhardtPathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Shannon L MaudeDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0003-2210-8736
Scott CannaImmune Dysregulation Program, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Kai Tan *Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Stephan Grupp *Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
David T Teachey *Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Funding

Project 3: Combinatorial and gene-editing approaches to enhance the efficacy of CAR T cell therapy of multiple myeloma.P01CA214278 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Joseph Anthony Fraietta · 2017 to 2026
$26.8M
NCI NIH HHS P01 CA214278
6 · The paper itself

Abstract

backgroundCytokine release syndrome (CRS) is a life-threatening toxicity of chimeric antigen receptor T-cell therapy (CART) for B-cell acute lymphoblastic leukemia (B-ALL). Lower rates of severe CRS have been reported in patients treated with CD22-directed CART (CART22) compared with those treated with CD19-directed CART (CART19).

methodsMore than 1,000 serum proteins were measured using a proximity extension assay on 40 patients treated with CART19 or CART22 and cytokines were compared. Single-cell (single-cell RNA-sequencing (scRNAseq)) was used to identify cellular and transcriptional differences between patients treated with CART19 and CART22. CART19-blast and CART22-blast interactions at the immune synapse (IS) were modeled in vitro.

resultsWe identified interleukin-10 (IL-10) as a critical endogenous modulator of CRS and demonstrated that previous treatment with CART is associated with increased serum IL-10 in the setting of subsequent relapse. Mechanistically, IL-10 induced higher interferon gamma expression and

conclusionsThese findings reveal IL-10 as a potent CRS-mitigating factor and support IL-10 enhancement strategies to improve the safety of CART.

Indexed as

Cytokine Release SyndromeCytokinesImmunotherapy, AdoptivePrecursor B-Cell Lymphoblastic Leukemia-LymphomaReceptors, Chimeric AntigenAntigens, CD19FemaleHumansMaleAntigens, CD19CytokinesReceptors, Chimeric AntigenChimeric antigen receptor - CARCytokineCytokine release syndrome

Identifiers

PMID42320984
PMCPMC13289296

What OpenQuestion holds

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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.