Evidence map›Paper›PMID 42750591›Full record

ArticleOncoimmunology2026

Immune checkpoint knockout screen reveals TIGIT-CD155 interaction as a significant modulator of adapter CAR-T cell function in acute myeloid leukemia.

Anna-Sophia Mast, Daniel Atar, Lara Ruoff, Sophia Scheuermann, Beate Kristmann, Peter Lang, Christian Martin Seitz, Patrick Schlegel

Abstract read
In one paragraph

Article in Oncoimmunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

8 authors.

Anna-Sophia MastDepartment of Hematology, Oncology, Gastroenterology, Nephrology, Rheumatology, University Children's Hospital Tuebingen, Tuebingen, Germany.
Daniel AtarDepartment of Hematology, Oncology, Gastroenterology, Nephrology, Rheumatology, University Children's Hospital Tuebingen, Tuebingen, Germany.
Lara RuoffDepartment of Hematology, Oncology, Gastroenterology, Nephrology, Rheumatology, University Children's Hospital Tuebingen, Tuebingen, Germany.
Sophia ScheuermannDepartment of Hematology, Oncology, Gastroenterology, Nephrology, Rheumatology, University Children's Hospital Tuebingen, Tuebingen, Germany.
Beate KristmannDepartment of Hematology, Oncology, Gastroenterology, Nephrology, Rheumatology, University Children's Hospital Tuebingen, Tuebingen, Germany.
Peter LangDepartment of Hematology, Oncology, Gastroenterology, Nephrology, Rheumatology, University Children's Hospital Tuebingen, Tuebingen, Germany.
Christian Martin SeitzDepartment of Hematology, Oncology, Gastroenterology, Nephrology, Rheumatology, University Children's Hospital Tuebingen, Tuebingen, Germany.ORCID 0000-0002-0520-7866
Patrick SchlegelDepartment of Hematology, Oncology, Gastroenterology, Nephrology, Rheumatology, University Children's Hospital Tuebingen, Tuebingen, Germany.ORCID 0000-0002-5425-2049

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T cell therapy for acute myeloid leukemia (AML) faces critical challenges, including severe on-target off-tumor toxicities, antigen heterogeneity, and primary immune evasion mechanisms. To address these limitations, we previously developed an adapter CAR (AdCAR) platform that enables transient and combinatorial targeting to improve the safety and efficacy of CAR-T-cell therapy in AML. In this study, we further optimized the AdCAR system by investigating the role of immune checkpoint receptors (ICRs), particularly PD-1, CD96, LAG-3, TIM-3, and TIGIT, as well as the immunomodulatory molecule CD276, in suppressing AdCAR-T-cell function. Using multiparametric flow cytometry, we analyzed the expression of immune checkpoint ligands (ICLs) across multiple cancer entities, including three well-characterized AML cell lines, primary AML bone marrow samples, and healthy bone marrow as a reference. We then examined the inducibility of ICLs on AML cells after AdCAR-T-cell engagement. To evaluate the functional impact of immune checkpoint inhibition (ICI), we generated AdCAR-T-cells with CRISPR/Cas9-mediated knockouts (KOs) of PD-1, CD96, CD276, LAG-3, TIM-3, or TIGIT, and analyzed their cytotoxic potential in vitro. In our setting, PD-1 disruption did not significantly enhance AdCAR-T cytotoxicity against MOLM-13 wildtype, while TIGIT KO significantly enhanced AdCAR-T cytotoxicity specifically across five leukemia- and lymphoma-cell lines. Notably, pharmacological PD-1 blockade resulted in greater cytotoxicity than PD-1 gene disruption, whereas TIGIT blockade showed comparable effects to TIGIT KO. Our study identified TIGIT KO as a potent enhancer of AdCAR-T-cell function and supports ICR gene disruption as a promising approach to improve therapeutic efficacy while reducing the systemic toxicities commonly associated with ICI therapy.

Indexed as

Immune Checkpoint ProteinsImmunotherapy, AdoptiveLeukemia, Myeloid, AcuteReceptors, Chimeric AntigenReceptors, ImmunologicReceptors, VirusT-LymphocytesCell Line, TumorGene Knockout TechniquesHepatitis A Virus Cellular Receptor 2HumansHepatitis A Virus Cellular Receptor 2Immune Checkpoint Proteinspoliovirus receptorReceptors, Chimeric AntigenReceptors, ImmunologicReceptors, VirusTIGIT protein, humanAdapter CAR T cell therapyAMLimmune checkpoint receptor

Identifiers

PMID42750591
PMCPMC13596916

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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.