Evidence map›Paper›PMID 24081947›Full record

ArticleThe Journal of experimental medicine2013

Aging predisposes to acute inflammatory induced pathology after tumor immunotherapy.

Myriam N Bouchlaka, Gail D Sckisel, Mingyi Chen, Annie Mirsoian, Anthony E Zamora, Emanual Maverakis, Danice E C Wilkins, Kory L Alderson, Hui-Hua Hsiao, Jonathan M Weiss and 9 more

Abstract read
In one paragraph

Article in The Journal of experimental medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed
–field-weighted citation impact
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

103 citing papers in PubMed.

  1. Article
  2. Review
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  7. Article
  8. Preclinical models in the study of lymph node metastasis.Journal of Zhejiang University. Science. B · 2025
    Review
  9. Facts and Hopes of CD40 Agonists in Cancer Immunotherapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Macrophages in Lung Repair and Fibrosis.Results and problems in cell differentiation · 2024
    Review
  19. Review
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Myriam N BouchlakaDepartment of Microbiology & Immunology and 2 Department of Physiology and Cell Biology, University of Nevada-Reno School of Medicine, Reno, NV 89557.
Gail D Sckisel
Mingyi Chen
Annie Mirsoian
Anthony E Zamora
Emanual Maverakis
Danice E C Wilkins
Kory L Alderson
Hui-Hua Hsiao
Jonathan M Weiss
Arta M Monjazeb
Charles Hesdorffer
Luigi Ferrucci
Dan L Longo
Bruce R Blazar
Robert H Wiltrout
Doug Redelman
Dennis D Taub
William J Murphy

Funding

Trial Design and Biostatistical Support CoreP01CA065493 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Mark J Osborn · 1995 to 2026
$48.2M
GVL TO REDUCE AML RELAPSE AFTER MURINE ALLOGENEIC BMTR01CA072669 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1997 to 2017
$4.9M
IT by CD40 stimulation and IL2 against renal cell carcinR01CA095572 · NCI · UNIVERSITY OF NEVADA RENO · PI MURPHY, WILLIAM JOSEPH · 2002 to 2017
$4.0M
Immunophysiological Mechanisms in the Biological Therapy of CancerZIABC009262 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WILTROUT, ROBERT · 2009 to 2015
$4.0M
Molecular Mechanisms of Thymic Epithelial Cell Involution in AgingR01AG034874 · NIA · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2009 to 2013
$1.6M
Intramural NIH HHSNCI NIH HHS CA0905572NCI NIH HHS P01 CA065493NCI NIH HHS R01 CA072669NCI NIH HHS R01 CA095572NIA NIH HHS AG034874NIA NIH HHS R01 AG034874
6 · The paper itself

Abstract

Cancer commonly occurs in the elderly and immunotherapy (IT) is being increasingly applied to this population. However, the majority of preclinical mouse tumor models assessing potential efficacy and toxicities of therapeutics use young mice. We assessed the impact of age on responses to systemic immune stimulation. In contrast to young mice, systemic cancer IT regimens or LPS given to aged mice resulted in rapid and lethal toxicities affecting multiple organs correlating with heightened proinflammatory cytokines systemically and within the parenchymal tissues. This inflammatory response and increased morbidity with age was independent of T cells or NK cells. However, prior in vivo depletion of macrophages in aged mice resulted in lesser cytokine levels, increased survival, and decreased liver histopathology. Furthermore, macrophages from aged mice and normal human elderly volunteers displayed heightened TNF and IL-6 production upon in vitro stimulation. Treatment of both TNF knockout mice and in vivo TNF blockade in aged mice resulted in significant increases in survival and lessened pathology. Importantly, TNF blockade in tumor-bearing, aged mice receiving IT displayed significant anti-tumor effects. These data demonstrate the critical role of macrophages in the age-associated hyper-inflammatory cytokine responses to systemic immunostimulation and underscore the importance of performing preclinical assessments in aged mice.

Indexed as

ImmunotherapyAgingAnimalsCD40 AntigensCytokinesDose-Response Relationship, DrugFemaleHumansInflammationInflammation MediatorsLipopolysaccharidesLiverMacrophagesMiceMice, Inbred C57BLNeoplasmsCD40 AntigensCytokinesInflammation MediatorsLipopolysaccharidesTumor Necrosis Factor-alpha

Identifiers

PMID24081947
PMCPMC3804937

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.