Evidence map›Paper›PMID 19724059›Full record

ArticleBlood2009

Depletion of endogenous tumor-associated regulatory T cells improves the efficacy of adoptive cytotoxic T-cell immunotherapy in murine acute myeloid leukemia.

Qing Zhou, Christoph Bucher, Meghan E Munger, Steven L Highfill, Jakub Tolar, David H Munn, Bruce L Levine, Megan Riddle, Carl H June, Daniel A Vallera and 2 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02771197 (Phase II Trial of Lymphodepletion and Anti-PD-1 Blockade to Reduce Relapse in High Risk AML Patients Who Are Not Eligible for Allogeneic Stem Cell Transplantation), which is not on this map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed
4.3field-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.

NCT02771197 phase2completednot on this mapstarted 2016, after this paper: background citation

Phase II Trial of Lymphodepletion and Anti-PD-1 Blockade to Reduce Relapse in High Risk AML Patients Who Are Not Eligible for Allogeneic Stem Cell Transplantation

TypeinterventionalSponsorNorthside Hospital, Inc.Ran2016 to 2023Enrolled20ConditionsAcute Myeloid LeukemiaArmsFludarabine, Melphalan, Pembrolizumab
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 148 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Study on the impact of CD4Clinical and experimental medicine · 2025
    Article
  6. Review
  7. Bone marrow immune cells and drug resistance in acute myeloid leukemia.Experimental biology and medicine (Maywood, N.J.) · 2025
    Review
  8. Review
  9. Murine Regulatory CD4International journal of molecular sciences · 2024
    Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Review

23 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

12 authors at 4 institutions in 1 country.

Qing ZhouDepartment of Pediatrics, Division of Blood and Marrow Transplantation, Masonic Cancer Center, University of Minnesota, Twin Cities, Minneapolis, MN 55455, USA.
Christoph Bucher
Meghan E Munger
Steven L Highfill
Jakub Tolar
David H Munn
Bruce L Levine
Megan Riddle
Carl H June
Daniel A Vallera
Brenda J Weigel
Bruce R Blazar
University of Minnesota · USAugusta University · USUniversity of Pennsylvania · USUPMC Hillman Cancer Center · US

Funding

T-CELL TARGETING FOR GVHDR01HL056067 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1995 to 2022
$5.4M
GVL TO REDUCE AML RELAPSE AFTER MURINE ALLOGENEIC BMTR01CA072669 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1997 to 2017
$4.9M
IMMUNOTHERAPY WITH CAR T CELLSR01CA120409 · NCI · UNIVERSITY OF PENNSYLVANIA · PI JUNE, CARL H., ZHAO, YANGBING · 2006 to 2016
$2.7M
NCI NIH HHS R01 CA072669NCI NIH HHS R01 CA120409NCI NIH HHS R01 CA72669NHLBI NIH HHS R01 HL056067
6 · The paper itself

Abstract

Tumor-induced immune suppression can permit tumor cells to escape host immune resistance. To elucidate host factors contributing to the poor response of adoptively transferred tumor-reactive cytotoxic T lymphocytes (CTLs), we used a systemic model of murine acute myeloid leukemia (AML). AML progression resulted in a progressive regulatory T-cell (Treg) accumulation in disease sites. The adoptive transfer of in vitro-generated, potently lytic anti-AML-reactive CTLs failed to reduce disease burden or extend survival. Compared with non-AML-bearing hosts, transferred CTLs had reduced proliferation in AML sites of metastases. Treg depletion by a brief course of interleukin-2 diphtheria toxin (IL-2DT) transiently reduced AML disease burden but did not permit long-term survival. In contrast, IL-2DT prevented anti-AML CTL hypoproliferation, increased the number of transferred CTLs at AML disease sites, reduced AML tumor burden, and resulted in long-term survivors that sustained an anti-AML memory response. These data demonstrated that Tregs present at AML disease sites suppress adoptively transferred CTL proliferation, limiting their in vivo expansion, and Treg depletion before CTL transfer can result in therapeutic efficacy in settings of substantial pre-existing tumor burden in which antitumor reactive CTL infusion alone has proven ineffective.

Indexed as

Adoptive TransferLymphocyte DepletionT-Lymphocytes, RegulatoryAnimalsCell ProliferationDiphtheria ToxinDisease Models, AnimalHumansImmunologic MemoryInterleukin-2Leukemia, Myeloid, AcuteMiceMice, KnockoutRecombinant Fusion ProteinsT-Lymphocytes, CytotoxicTumor EscapeDiphtheria ToxinInterleukin-2interleukin 2-diphtheria toxinRecombinant Fusion Proteins

Identifiers

PMID19724059
PMCPMC2773484
OpenAlexW2062713220

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.