Evidence map›Paper›PMID 41354926›Full record

ReviewCancer cell international2025

Improving CAR T cell therapy against malignancies through gene knock-down/out strategies: a systematic review.

Amirali Karimi, Sayedeh-Zahra Kazemi-Harikandei, Sanam Alilou, Dorsa Salabat, Seyed Morteza Pourfaraji, Fatemeh Ojaghi Shirmard, Niloofar Seighali, Saba Maleki, Behnia Akbari, Farshid Noorbakhsh and 2 more

Abstract readReview
In one paragraph

Review in Cancer cell international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Amirali Karimi *School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID http://orcid.org/0000-0003-1241-7754
Sayedeh-Zahra Kazemi-Harikandei *School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Sanam AlilouSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Dorsa SalabatSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Morteza PourfarajiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Fatemeh Ojaghi ShirmardSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Niloofar SeighaliNon-Communicable Disease Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Saba MalekiSchool of Medicine, Guilan University of Medical Sciences, Rasht, Iran.ORCID http://orcid.org/0000-0002-8476-6163
Behnia AkbariVilcek Institute of Graduate Biomedical Sciences, New York University Grossman School of Medicine, New York, 10016, New York, USA.
Farshid NoorbakhshDepartment of Medical Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Jamshid HadjatiDepartment of Medical Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Hamid Reza MirzaeiDepartment of Medical Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. H-mirzaei@tums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCAR T cells still face numerous obstacles in treating hematologic and solid malignancies. Although gene editing technologies have improved CAR T cell therapy, there are currently no systematic reviews to broadly address preclinical and clinical outcomes of gene-edited CAR T cells. Therefore, we aimed to systematically review the preclinical and clinical studies that evaluate the outcomes of knocked-out/knocked-down (KO/KD) CAR T cells.

methodsThis study was submitted to international Prospective Register of Systematic Reviews (PROSPERO) with the ID CRD42022320541 and follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. We searched Five databases (PubMed, EMBASE, Cochrane Library, Web of Science, and Clinicaltrials.gov) up to March 19th, 2022 for the keywords of "CAR T cell" and "knock-out/knock-down". The retrieved records then underwent a two-step screening process based on the inclusion criteria, first title/abstract and then full-text screenings, and their data were used for qualitative synthesis.

resultsOur search results yielded 3780 records. Finally, a total of 241 records, including 193 animal and 52 human studies (four concurrent in both groups) that reported KO/KD genes for 105 proteins were included. The positive effects of these 105 KO/KD were categorized into five groups: (1) enabling allogeneic CAR production while limiting GVHD, (2) increasing the efficacy of CAR T cells, (3) Decreasing their side effects, (4) limiting CAR T cell fratricide, and (5) enabling the use of concurrent therapies. In the human section, solid tumors had fewer studies with less favorable outcomes compared to hematologic malignancies.

conclusionsThis systematic review emphasized the various mechanisms by which CAR T cell effects could be boosted. Future researchers can choose their desired genes out of the 105 mentioned candidates. We also encourage the researchers to increase their efforts on solid tumors to compensate for the lack of increased efficacy in this group.

Indexed as

Cancer immunologyCAR T cellGene editingKnock-downKnock-out

Identifiers

PMID41354926
PMCPMC12797449

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.