Evidence map›Paper›PMID 22261031›Full record

ArticleScience translational medicine2012

Skin effector memory T cells do not recirculate and provide immune protection in alemtuzumab-treated CTCL patients.

Rachael A Clark, Rei Watanabe, Jessica E Teague, Christoph Schlapbach, Marianne C Tawa, Natalie Adams, Andrew A Dorosario, Keri S Chaney, Corey S Cutler, Nicole R Leboeuf and 3 more

Abstract read
In one paragraph

Article in Science translational medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 185 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
185citing papers in PubMed, 2 pooled it
35.3field-weighted citation impact, top 1% 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

185 citing papers in PubMed, 2 syntheses or guidelines pooled it, 363 citations in OpenAlex.

  1. Pooled it
  2. Tissue-Resident Memory T Cells in Skin Diseases: A Systematic Review.International journal of molecular sciences · 2021
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Cutaneous T cell immunity.Nature immunology · 2025
    Review
  16. Article
  17. Review
  18. Observational
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Rachael A ClarkDepartment of Dermatology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. rclark1@partners.org
Rei Watanabe
Jessica E Teague
Christoph Schlapbach
Marianne C Tawa
Natalie Adams
Andrew A Dorosario
Keri S Chaney
Corey S Cutler
Nicole R Leboeuf
Joi B Carter
David C Fisher
Thomas S Kupper
Dana-Farber Brigham Cancer Center · USHarvard University · USBrigham and Women's Hospital · USMassachusetts General Hospital · US

Funding

Targeting Raf in Melanoma: Mechanisms for Effect & Resistance & Opportunities forP50CA093683 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI MIER, JAMES W · 2001 to 2012
$25.8M
Skin Homing T CellsR01AR065807 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI KUPPER, THOMAS S. · 2013 to 2022
$6.3M
Vaccination to generate protective tissue resident T cellsR01AI097128 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN, KUPPER, THOMAS S. · 2011 to 2015
$6.1M
IMMUNOPHYSIOLOGY OF KERATINOCYTE CYTOKINESR37AI025082 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI KUPPER, THOMAS S. · 2000 to 2007
$2.8M
Immune Evasion in Human Squamous Cell Carcinomas of the SkinR01AR056720 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN · 2009 to 2013
$1.9M
NCI NIH HHS P50 CA093683NCI NIH HHS P50 CA9368305NIAID NIH HHS R01 AI097128NIAID NIH HHS R37 AI025082NIAMS NIH HHS R01 AR056720NIAMS NIH HHS R01 AR065807PHS HHS R01 A1025082
6 · The paper itself

Abstract

Cutaneous T cell lymphoma (CTCL) is a cancer of skin-homing T cells with variants that include leukemic CTCL (L-CTCL), a malignancy of central memory T cells (T(CM)), and mycosis fungoides (MF), a malignancy of skin resident effector memory T cells (T(EM)). We report that low-dose alemtuzumab (αCD52) effectively treated patients with refractory L-CTCL but not MF. Alemtuzumab depleted all T cells in blood and depleted both benign and malignant T(CM) from skin, but a diverse population of skin resident T(EM) remained in skin after therapy. T cell depletion with alemtuzumab required the presence of neutrophils, a cell type frequent in blood but rare in normal skin. These data suggest that T(CM) were depleted because they recirculate between the blood and the skin, whereas skin resident T(EM) were spared because they are sessile and non-recirculating. After alemtuzumab treatment, skin T cells produced lower amounts of interleukin-4 and higher amounts of interferon-γ. Moreover, there was a marked lack of infections in alemtuzumab-treated L-CTCL patients despite the complete absence of T cells in the blood, suggesting that skin resident T(EM) can protect the skin from pathogens even in the absence of T cell recruitment from the circulation. Together, these data suggest that alemtuzumab may treat refractory L-CTCL without severely compromising the immune response to infection by depleting circulating T(CM) but sparing the skin resident T(EM) that provide local immune protection of the skin.

Indexed as

Immunologic MemoryAgedAged, 80 and overAlemtuzumabAntibodies, Monoclonal, HumanizedAntigens, CDAntigens, NeoplasmAntineoplastic AgentsCD52 AntigenFemaleGlycoproteinsHumansImmune SystemMaleMiddle AgedMycosis FungoidesAlemtuzumabAntibodies, Monoclonal, HumanizedAntigens, CDAntigens, NeoplasmAntineoplastic AgentsCD52 AntigenCD52 protein, humanGlycoproteins

Identifiers

PMID22261031
PMCPMC3373186
OpenAlexW2076870975

What OpenQuestion holds

Textmetadata
LicenceTDM
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.