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The critical role of the host endogenous immune compartment after intracerebroventricular CAR T cell therapy in recurrent GBM

GSE296419 Homo sapiens Expression profiling by high throughput sequencing; Other 143 samples Submitted 2026/06/30 Platform GPL18573Platform GPL24676Platform GPL34281
Summary
Glioblastoma (GBM) is the most common primary malignant brain tumor in adults, with a median survival of under 15 months and no effective treatment after recurrence. A recent phase I trial of intracerebroventricular (ICV) bivalent CAR T cells in recurrent GBM showed promising responses, including tumor reduction and prolonged survival. However, relapse remains common. We performed in-depth profiling of longitudinal CSF and tumor samples from responders and non-responders to characterize immune dynamics following infusion. Our study reveals that while CAR T cells activate post-infusion across all patients, outcomes were defined by divergent remodeling of the endogenous immune landscape. Cytotoxic NK cell expansion characterized responders, whereas regulatory T cell expansion and abundant baseline immunosuppressive myeloid cells characterized non-responders. These findings indicate that host immune cells play a critical role in ICV CAR T cell therapy for GBM, suggesting that combinatorial strategies modulating the endogenous immune compartment could improve next-generation treatments.
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Direct links to NCBI, no account and no request form: the whole study as GSE296419_RAW.tar, processed values as the series matrix, the supplementary file directory, and per-sample supplementary files for any of the 143 samples. Raw sequencing reads are also available from ENA.

Also filed as BioProject PRJNA1258285. Searching any of these in the dataset finder brings you back here.

Study design
38 conditions, each sampled once — no replicated groups
CSF_P5D0_GEX ×2 CSF_P5D0_VDJ ×2

Read from the first 40 of 143 sample titles: 38 distinct titles with little repetition. Check it against the sample list below before relying on it.

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