Evidence map›Paper›PMID 26239198›Full record

ArticleLeukemia2016

Blockade of the PD-1/PD-L1 axis augments lysis of AML cells by the CD33/CD3 BiTE antibody construct AMG 330: reversing a T-cell-induced immune escape mechanism.

C Krupka, P Kufer, R Kischel, G Zugmaier, F S Lichtenegger, T Köhnke, B Vick, I Jeremias, K H Metzeler, T Altmann and 7 more

Abstract read
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In one paragraph

Article in Leukemia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 155 papers.

0numbers the graph read from it
0cells of the map it votes in
155citing papers in PubMed
10.3field-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

155 citing papers in PubMed, 245 citations in OpenAlex.

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  11. Immune cell engagers in lung cancer.Frontiers in immunology · 2026
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95 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

17 authors at 7 institutions in 1 country.

C KrupkaDepartment of Internal Medicine III, LMU-Klinikum der Universität München, Munich, Germany.
P KuferAMGEN Research (Munich) GmbH, Munich, Germany.
R KischelAMGEN Research (Munich) GmbH, Munich, Germany.
G ZugmaierAMGEN Research (Munich) GmbH, Munich, Germany.
F S LichteneggerDepartment of Internal Medicine III, LMU-Klinikum der Universität München, Munich, Germany.
T KöhnkeDepartment of Internal Medicine III, LMU-Klinikum der Universität München, Munich, Germany.
B VickDepartment of Gene Vectors, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich, Germany.
I JeremiasDepartment of Gene Vectors, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich, Germany.
K H MetzelerDepartment of Internal Medicine III, LMU-Klinikum der Universität München, Munich, Germany.
T AltmannDepartment of Internal Medicine III, LMU-Klinikum der Universität München, Munich, Germany.
S SchneiderDepartment of Internal Medicine III, LMU-Klinikum der Universität München, Munich, Germany.
M FieglDepartment of Internal Medicine III, LMU-Klinikum der Universität München, Munich, Germany.
K SpiekermannDepartment of Internal Medicine III, LMU-Klinikum der Universität München, Munich, Germany.
P A BauerleAMGEN Research (Munich) GmbH, Munich, Germany.
W HiddemannDepartment of Internal Medicine III, LMU-Klinikum der Universität München, Munich, Germany.
G RiethmüllerInstitute for Immunology, Ludwig-Maximilians-Universität, Munich, Germany.
M SubkleweDepartment of Internal Medicine III, LMU-Klinikum der Universität München, Munich, Germany.
LMU Klinikum · DEAmgen (Germany) · DEDeutschen Konsortium für Translationale Krebsforschung · DEHelmholtz Zentrum München · DELudwig-Maximilians-Universität München · DEGerman Cancer Research Center · DEHeidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bispecific T-cell engagers (BiTEs) are very effective in recruiting and activating T cells. We tested the cytotoxicity of the CD33/CD3 BiTE antibody construct AMG 330 on primary acute myeloid leukemia (AML) cells ex vivo and characterized parameters contributing to antileukemic cytolytic activity. The E:T ratio and the CD33 expression level significantly influenced lysis kinetics in long-term cultures of primary AML cells (n=38). AMG 330 induced T-cell-mediated proinflammatory conditions, favoring the upregulation of immune checkpoints on target and effector cells. Although not constitutively expressed at the time of primary diagnosis (n=123), PD-L1 was strongly upregulated on primary AML cells upon AMG 330 addition to ex vivo cultures (n=27, P<0.0001). This phenomenon was cytokine-driven as the sole addition of interferon (IFN)-γ and tumor necrosis factor-α also induced expression. Through blockade of the PD-1/PD-L1 interaction, AMG 330-mediated lysis (n=9, P=0.03), T-cell proliferation (n=9, P=0.01) and IFN-γ secretion (n=8, P=0.008) were significantly enhanced. The combinatorial approach was most beneficial in settings of protracted AML cell lysis. Taken together, we have characterized a critical resistance mechanism employed by primary AML cells under AMG 330-mediated proinflammatory conditions. Our results support the evaluation of checkpoint molecules in upcoming clinical trials with AMG 330 to enhance BiTE antibody construct-mediated cytotoxicity.

Indexed as

AnimalsAntibodies, BispecificB7-H1 AntigenHumansLeukemia, Myeloid, AcuteMiceProgrammed Cell Death 1 ReceptorSialic Acid Binding Ig-like Lectin 3T-LymphocytesTumor EscapeAMG 330Antibodies, BispecificB7-H1 AntigenCD274 protein, humanCD33 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 ReceptorSialic Acid Binding Ig-like Lectin 3

Identifiers

PMID26239198
OpenAlexW1906337113

What OpenQuestion holds

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Registered trials

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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.