Evidence map›Paper›PMID 19509467›Full record

ArticleThe Journal of clinical investigation2009

Patients with lung cancer and paraneoplastic Hu syndrome harbor HuD-specific type 2 CD8+ T cells.

Wendy K Roberts, Ilana J Deluca, Ashby Thomas, John Fak, Travis Williams, Noreen Buckley, Athanasios G Dousmanis, Jerome B Posner, Robert B Darnell

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

  1. Guideline
  2. Outcome and Biomarker Analysis from a Multicenter Phase 2 Study of Ipilimumab in Combination with Carboplatin and Etoposide as First-Line Therapy for Extensive-Stage SCLC.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2016
    Trial
  3. Trial
  4. Trial
  5. Review
  6. Neuron-reactive KIRNature communications · 2025
    Article
  7. Autoimmune encephalitis.Nature reviews. Disease primers · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Immunity, Ion Channels and Epilepsy.International journal of molecular sciences · 2022
    Review
  15. Article
  16. Review
  17. Article
  18. Paraneoplastic neurological syndromes: clinical presentations and management.Therapeutic advances in neurological disorders · 2021
    Review
  19. Review
  20. Article
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

9 authors at 3 institutions in 1 country.

Wendy K RobertsHoward Hughes Medical Institute, The Rockefeller University, New York, NY 10021, USA.
Ilana J Deluca
Ashby Thomas
John Fak
Travis Williams
Noreen Buckley
Athanasios G Dousmanis
Jerome B Posner
Robert B Darnell
Rockefeller University · USMemorial Sloan Kettering Cancer Center · USHoward Hughes Medical Institute · US

Funding

TRANSFORMING TRANSLATIONAL SCIENCE AND EDUCATION TO BENEFIT HUMAN HEALTHUL1RR024143 · NCRR · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY · 2006 to 2011
$49.1M
Tolerance versus tumor immunity in PNDR01CA085784 · NCI · ROCKEFELLER UNIVERSITY · PI DARNELL, ROBERT B · 2001 to 2005
$1.4M
Howard Hughes Medical InstituteNCI NIH HHS R01 CA085784NCI NIH HHS R01 CA85784NCRR NIH HHS UL1 RR024143
6 · The paper itself

Abstract

Paraneoplastic neurologic disorders (PNDs) offer an uncommon opportunity to study human tumor immunity and autoimmunity. In small cell lung cancer (SCLC), expression of the HuD neuronal antigen is thought to lead to immune recognition, suppression of tumor growth, and, in a subset of patients, triggering of the Hu paraneoplastic neurologic syndrome. Antigen-specific CTLs believed to contribute to disease pathophysiology were described 10 years ago in paraneoplastic cerebellar degeneration. Despite parallel efforts, similar cells have not been defined in Hu patients. Here, we have identified HuD-specific T cells in Hu patients and provided an explanation for why their detection has been elusive. Different Hu patients harbored 1 of 2 kinds of HuD-specific CD8+ T cells: classical IFN-gamma-producing CTLs or unusual T cells that produced type 2 cytokines, most prominently IL-13 and IL-5, and lacked cytolytic activity. Further, we found evidence that SCLC tumor cells produced type 2 cytokines and that these cytokines trigger naive CD8+ T cells to adopt the atypical type 2 phenotype. These observations demonstrate the presence of an unusual noncytotoxic CD8+ T cell in patients with the Hu paraneoplastic syndrome and suggest that SCLC may evade tumor immune surveillance by skewing tumor antigen-specific T cells to this unusual noncytolytic phenotype.

Indexed as

AgedCD8-Positive T-LymphocytesCell Line, TumorELAV-Like Protein 4ELAV ProteinsEpitopesFemaleGene Expression ProfilingHumansInterferon-gammaInterleukin-13Lung NeoplasmsMaleMiddle AgedParaneoplastic Cerebellar DegenerationELAVL4 protein, humanELAV-Like Protein 4ELAV ProteinsEpitopesInterferon-gammaInterleukin-13

Identifiers

PMID19509467
PMCPMC2701858
OpenAlexW2169816347

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.