Evidence map›Paper›PMID 10918427›Full record

ArticleBone marrow transplantation2000

Immune reconstitution following high-dose chemotherapy with stem cell rescue in patients with advanced breast cancer.

D Avigan, Z Wu, R Joyce, A Elias, P Richardson, D McDermott, J Levine, L Kennedy, N Giallombardo, D Hurley and 2 more

Abstract read
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In one paragraph

Article in Bone marrow transplantation, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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.

D AviganDivision of Hematology/Oncology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Z Wu
R Joyce
A Elias
P Richardson
D McDermott
J Levine
L Kennedy
N Giallombardo
D Hurley
J Gong
D Kufe

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present study examines the nature of humoral and cellular immune reconstitution in 28 patients with advanced breast cancer following high-dose chemotherapy with stem cell rescue. Patients underwent testing of T, B, NK and dendritic cell function at serial time points until 1 year post transplant or until the time of disease progression. Abnormalities in T cell phenotype and function were observed following high-dose chemotherapy that persisted for at least 6-12 months. The vast majority of patients experienced an inversion of the CD4/CD8 ratio and demonstrated an anergic response to candida antigen. Mean T cell proliferation in response to PHA and to co-culture with allogeneic monocytes was significantly compromised. In contrast, mean IgG and IgA levels were normal 6 months post transplant and NK cell yields and function were transiently elevated following high-dose chemotherapy. Dendritic cells generated from peripheral blood progenitors displayed a characteristic phenotype and were potent inducers of allogeneic T cell proliferation in the post-transplant period. The study demonstrates that patients undergoing autologous transplantation for breast cancer experience a prolonged period of T cell dysfunction. In contrast, B, NK, and DC recover more rapidly. These findings carry significant implications for the design of post-transplant immunotherapy.

Indexed as

Hematopoietic Stem Cell TransplantationAdultAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCD4-CD8 RatioDendritic CellsFemaleHumansHypersensitivity, DelayedImmunityImmunoglobulinsImmunophenotypingInfectionsKiller Cells, NaturalLymphocyte ActivationLymphocyte Culture Test, MixedImmunoglobulinsPhytohemagglutinins

Identifiers

PMID10918427

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.