Evidence map›Paper›PMID 16705487›Full record

ArticleJournal of clinical immunology2006

Immunologic effector mechanisms of a standardized mistletoe extract on the function of human monocytes and lymphocytes in vitro, ex vivo, and in vivo.

Lucie Heinzerling, Volker von Baehr, Christa Liebenthal, Rüdiger von Baehr, Hans-Dieter Volk

Registry-linked trialAbstract readControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in Journal of clinical immunology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05726383 (MISTOSUS), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% of its field
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.

NCT05726383 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

MISTOSUS: Iscador® P (Mistletoe) Immunotherapy To Improve Event Free Survival In Patients With Relapsed Resectable Osteosarcoma

TypeinterventionalSponsorHackensack Meridian HealthRan2024 to 2027Enrolled32ConditionsOsteogenic Sarcoma RecurrentArmsIscador*P
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Mistletoe therapy in oncology.The Cochrane database of systematic reviews · 2008
    Pooled it
  2. MISTOSUS: a phase II trial ofFuture oncology (London, England) · 2026
    Trial
  3. Trial
  4. Review
  5. Immune Response Activation and Hepatoprotective Activity ofInternational journal of food science · 2025
    Article
  6. Article
  7. Article
  8. Phenolic compounds fromSaudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2018
    Article
  9. Observational
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
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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

5 authors at 1 institution in 1 country.

Lucie HeinzerlingDepartment of Medical Immunology, Charité - University Hospital, Berlin, Germany. lucie.heinzerling@charite.de
Volker von Baehr
Christa Liebenthal
Rüdiger von Baehr
Hans-Dieter Volk
Charité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Even though mistletoe extracts have been in clinical use for centuries their exact mode of action is still unknown. Currently, the application scheme for registered preparations is a dose-escalating scheme to thus reduce side effects. In this study, healthy controls and patients were evaluated for their immunologic response to treatment with a standardized mistletoe extract (Iscador). It shows a strong effect as adjuvant that induces TNF-alpha and IL-12, which was partly mediated via CD14. Desensitization of the TNF-alpha response could be shown after repeated application in vitro and in vivo. Furthermore, Iscador induces a specific lymphocyte sensitization upon multiple injections and production of IgG1- and IgG3 -mistletoe antibodies. Remarkably, a systemic bystander effect (heterologous immunity against other recall antigens) was observed after long-term treatment. In conclusion, dose-escalation reduces the monocyte-related clinical side effects. A T-lymphocyte sensitization stimulates mainly a specific Th1 response. The most interesting clinical long-term effect is the bystander stimulation of various memory T cells that might mediate in vivo antitumor and antiinfectious T-cell response under mistletoe-extract immunization.

Indexed as

Adjuvants, ImmunologicAdultAgedAntibody FormationAntineoplastic AgentsBystander EffectCase-Control StudiesFemaleGene Expression RegulationHumansImmunizationInterleukin-12LymphocytesMiddle AgedMistletoeMonocytesAdjuvants, ImmunologicAntineoplastic AgentsInterleukin-12Plant ExtractsPlant ProteinsTumor Necrosis Factor-alphaviscum album peptide

Identifiers

PMID16705487
OpenAlexW2003565257

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.