Evidence map›Paper›PMID 17878392›Full record

Trial reportJournal of immunology (Baltimore, Md. : 1950)2007

Administration of a CD25-directed immunotoxin, LMB-2, to patients with metastatic melanoma induces a selective partial reduction in regulatory T cells in vivo.

Daniel J Powell, Aloisio Felipe-Silva, Maria J Merino, Mojgan Ahmadzadeh, Tamika Allen, Catherine Levy, Donald E White, Sharon Mavroukakis, Robert J Kreitman, Steven A Rosenberg and 1 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of immunology (Baltimore, Md. : 1950), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed
6.2field-weighted citation impact, top 3% 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.

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

84 citing papers in PubMed, 164 citations in OpenAlex.

  1. Trial
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  16. Review
  17. Immunogenicity of Immunotoxins ContainingFrontiers in immunology · 2020
    Review
  18. Review
  19. Depletion of regulatory T cells in tumors with an anti-CD25 immunotoxin induces CD8 T cell-mediated systemic antitumor immunity.Proceedings of the National Academy of Sciences of the United States of America · 2019
    Article
  20. Pharmacokinetics of protein and peptide conjugates.Drug metabolism and pharmacokinetics · 2019
    Review

24 more citing papers are in PubMed but not listed here.

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

11 authors at 1 institution in 1 country.

Daniel J PowellSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA. Daniel_Powell@nih.gov
Aloisio Felipe-Silva
Maria J Merino
Mojgan Ahmadzadeh
Tamika Allen
Catherine Levy
Donald E White
Sharon Mavroukakis
Robert J Kreitman
Steven A Rosenberg
Ira Pastan
National Institutes of Health · US

Funding

THE IMMUNOTHERAPY OF ANIMAL AND HUMAN CANCERZ01SC003811 · SC · CLINICAL SCIENCES · PI ROSENBERG, STEVEN A · 1996 to 2007
$3.2M
Intramural NIH HHS Z01 SC003811
6 · The paper itself

Abstract

CD25+ CD4+ T regulatory (Treg) cells regulate peripheral self tolerance and possess the ability to suppress antitumor responses, which may in part explain the poor clinical response of cancer patients undergoing active immunization protocols. We have previously shown that in vitro incubation of human PBMC with LMB-2, a CD25-directed immunotoxin, significantly reduced CD25+ FOXP3+ CD4+ Treg cells without impairing the function of the remaining lymphocytes. In the current study, eight patients with metastatic melanoma were treated with LMB-2 followed by MART-1 and gp100-specific peptide vaccination. LMB-2 administration resulted in a preferential, transient reduction in mean circulating CD25+ CD4+ T cell number, from 83 +/- 16 cells/microl to a nadir of 17 +/- 5 cells/microl, a 79.1% reduction. FOXP3 analysis revealed a less robust depletion with mean FOXP3+ CD4+ Treg cell number decreasing from 74 +/- 15 cells/microl to 36 +/- 8 cells/microl, a 51.4% reduction. FOXP3+ CD4+ Treg cells that survived LMB-2-mediated cytotoxicity expressed little or no CD25. Similar to the peripheral blood, immunohistochemical analysis showed a 68.9% mean reduction in FOXP3+ CD4+ Treg cell frequency in evaluable lesions. Despite inducing a reduction in Treg cell numbers in vivo, LMB-2 therapy did not augment the immune response to cancer vaccination and no patient experienced an objective response or autoimmunity. These data demonstrate the capacity of a CD25-directed immunotoxin to selectively mediate a transient partial reduction in circulating and tumor-infiltrating Treg cells in vivo, and suggest that more comprehensive Treg cell elimination may be required to bolster antitumor responses in patients with metastatic melanoma.

Indexed as

Antibodies, MonoclonalExotoxinsFemaleForkhead Transcription FactorsHumansImmunotoxinsInterleukin-2 Receptor alpha SubunitMaleMelanomaMiddle AgedNeoplasm MetastasisPeptidesT-Lymphocytes, RegulatoryTreatment OutcomeVaccinationAntibodies, MonoclonalB3(Fv)-PE38KDEL recombinant immunotoxinExotoxinsForkhead Transcription FactorsFOXP3 protein, humanImmunotoxinsInterleukin-2 Receptor alpha SubunitPeptides

Identifiers

PMID17878392
PMCPMC2134981
OpenAlexW2139153458

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.