Evidence map›Paper›PMID 27102208›Full record

ArticleLeukemia2016

Multiple myeloma causes clonal T-cell immunosenescence: identification of potential novel targets for promoting tumour immunity and implications for checkpoint blockade.

H Suen, R Brown, S Yang, C Weatherburn, P J Ho, N Woodland, N Nassif, P Barbaro, C Bryant, D Hart and 2 more

Abstract read
PubMed Publisher
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 131 papers.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

131 citing papers in PubMed, 192 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. T Cells Dysfunction in Multiple Myeloma.ImmunoTargets and therapy · 2025
    Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Review

71 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 5 institutions in 1 country.

H SuenInstitute of Haematology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
R BrownInstitute of Haematology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
S YangInstitute of Haematology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
C WeatherburnInstitute of Haematology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
P J HoInstitute of Haematology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
N WoodlandSchool of Life Sciences, University of Technology Sydney, Sydney, New South Wales, Australia.
N NassifSchool of Life Sciences, University of Technology Sydney, Sydney, New South Wales, Australia.
P BarbaroChildren's Medical Research Institute, Sydney, New South Wales, Australia.
C BryantInstitute of Haematology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
D HartSydney University Medical School, University of Sydney, Sydney, New South Wales, Australia.
J GibsonInstitute of Haematology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
D JoshuaInstitute of Haematology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Royal Prince Alfred Hospital · AUUniversity of Technology Sydney · AUUniversity of Sydney · AUAnzac Research Institute · AUChildren's Medical Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumour-induced dysfunction of cytotoxic T cells in patients with multiple myeloma (MM) may contribute to immune escape and be responsible for the lack of therapeutic efficacy of immune checkpoint blockade. We therefore investigated dysfunctional clonal T cells in MM and demonstrated immunosenescence but not exhaustion as a predominant feature. T-cell clones were detected in 75% of MM patients and their prognostic significance was revalidated in a new post-immunomodulatory drug cohort. The cells exhibited a senescent secretory effector phenotype: KLRG-1+/CD57+/CD160+/CD28-. Normal-for-age telomere lengths indicate that senescence is telomere independent and potentially reversible. p38-mitogen-activated protein kinase, p16 and p21 signalling pathways known to induce senescence were not elevated. Telomerase activity was found to be elevated and this may explain how normal telomere lengths are maintained in senescent cells. T-cell receptor signalling checkpoints were normal but elevated SMAD levels associated with T-cell inactivation were detected and may provide a potential target for the reversal of clonal T-cell dysfunction in MM. Low programmed death 1 and cytotoxic T-lymphocyte-associated antigen 4 expression detected on T-cell clones infers that these cells are not exhausted but suggests that there would be a suboptimal response to immune checkpoint blockade in MM. Our data suggest that other immunostimulatory strategies are required in MM.

Indexed as

Cells, CulturedClone CellsCTLA-4 AntigenHumansImmunophenotypingImmunosenescenceMultiple MyelomaPrognosisProgrammed Cell Death 1 ReceptorSignal TransductionSmad ProteinsTelomereT-LymphocytesCTLA-4 AntigenCTLA4 protein, humanProgrammed Cell Death 1 ReceptorSmad Proteins

Identifiers

PMID27102208
OpenAlexW2339229309

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.