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100 1 _ |a Theruvath, Johanna
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245 _ _ |a Locoregionally administered B7-H3-targeted CAR T cells for treatment of atypical teratoid/rhabdoid tumors.
260 _ _ |a New York, NY
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500 _ _ |a 2020 May;26(5):712-719
520 _ _ |a Atypical teratoid/rhabdoid tumors (ATRTs) typically arise in the central nervous system (CNS) of children under 3 years of age. Despite intensive multimodal therapy (surgery, chemotherapy and, if age permits, radiotherapy), median survival is 17 months1,2. We show that ATRTs robustly express B7-H3/CD276 that does not result from the inactivating mutations in SMARCB1 (refs. 3,4), which drive oncogenesis in ATRT, but requires residual SWItch/Sucrose Non-Fermentable (SWI/SNF) activity mediated by BRG1/SMARCA4. Consistent with the embryonic origin of ATRT5,6, B7-H3 is highly expressed on the prenatal, but not postnatal, brain. B7-H3.BB.z-chimeric antigen receptor (CAR) T cells administered intracerebroventricularly or intratumorally mediate potent antitumor effects against cerebral ATRT xenografts in mice, with faster kinetics, greater potency and reduced systemic levels of inflammatory cytokines compared to CAR T cells administered intravenously. CAR T cells administered ICV also traffic from the CNS into the periphery; following clearance of ATRT xenografts, B7-H3.BB.z-CAR T cells administered intracerebroventricularly or intravenously mediate antigen-specific protection from tumor rechallenge, both in the brain and periphery. These results identify B7-H3 as a compelling therapeutic target for this largely incurable pediatric tumor and demonstrate important advantages of locoregional compared to systemic delivery of CAR T cells for the treatment of CNS malignancies.
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700 1 _ |a Sotillo, Elena
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700 1 _ |a Mount, Christopher W
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700 1 _ |a Graef, Claus Moritz
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700 1 _ |a Delaidelli, Alberto
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700 1 _ |a Heitzeneder, Sabine
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700 1 _ |a Labanieh, Louai
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700 1 _ |a Dhingra, Shaurya
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700 1 _ |a Leruste, Amaury
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700 1 _ |a Majzner, Robbie G
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700 1 _ |a Xu, Peng
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700 1 _ |a Mueller, Sabine
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700 1 _ |a Yecies, Derek W
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700 1 _ |a Finetti, Martina A
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700 1 _ |a Williamson, Daniel
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700 1 _ |a Kool, Marcel
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700 1 _ |a Pfister, Stefan
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700 1 _ |a Hasselblatt, Martin
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700 1 _ |a Frühwald, Michael C
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700 1 _ |a Delattre, Olivier
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700 1 _ |a Surdez, Didier
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700 1 _ |a Bourdeaut, Franck
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700 1 _ |a Puget, Stephanie
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700 1 _ |a Zaidi, Sakina
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700 1 _ |a Mitra, Siddhartha S
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700 1 _ |a Cheshier, Samuel
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700 1 _ |a Sorensen, Poul H
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700 1 _ |a Monje, Michelle
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700 1 _ |a Mackall, Crystal L
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773 _ _ |a 10.1038/s41591-020-0821-8
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