Evidence map›Paper›PMID 27620209›Full record

ArticleJournal of translational medicine2016

In-vitro influence of mycophenolate mofetil (MMF) and Ciclosporin A (CsA) on cytokine induced killer (CIK) cell immunotherapy.

Melanie Bremm, Sabine Huenecke, Olga Zimmermann, Verena Pfirrmann, Andrea Quaiser, Halvard Bonig, Jan Soerensen, Thomas Klingebiel, Eva Rettinger, Peter Bader and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

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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

11 authors at 3 institutions in 1 country.

Melanie BremmClinic for Pediatric and Adolescent Medicine, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt/Main, Germany. melanie.bremm@kgu.de.
Sabine HueneckeClinic for Pediatric and Adolescent Medicine, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt/Main, Germany.
Olga ZimmermannClinic for Pediatric and Adolescent Medicine, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt/Main, Germany.
Verena PfirrmannClinic for Pediatric and Adolescent Medicine, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt/Main, Germany.
Andrea QuaiserClinic for Pediatric and Adolescent Medicine, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt/Main, Germany.
Halvard BonigDivision for Translational Development of Cellular Therapeutics, Institute for Transfusion Medicine and Immunohematology, Goethe-University Frankfurt/Main, Frankfurt/Main, Germany.
Jan SoerensenClinic for Pediatric and Adolescent Medicine, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt/Main, Germany.
Thomas KlingebielClinic for Pediatric and Adolescent Medicine, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt/Main, Germany.
Eva RettingerClinic for Pediatric and Adolescent Medicine, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt/Main, Germany.
Peter BaderClinic for Pediatric and Adolescent Medicine, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt/Main, Germany.
Claudia CappelClinic for Pediatric and Adolescent Medicine, University Hospital, Theodor-Stern-Kai 7, 60596, Frankfurt/Main, Germany.
University Hospital Frankfurt · DEGerman Red Cross · DEGoethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCytokine-induced-killer (CIK) cells are a promising immunotherapeutic approach for impending relapse following hematopoietic stem cell transplantation (HSCT). However, there is a high risk for treatment failure associated with severe graft versus host disease (GvHD) necessitating pharmaceutical intervention post-transplant. Whether immunosuppression with mycophenolate mofetil (MMF) or Ciclosporin A (CsA) influences the cytotoxic effect of CIK cell immunotherapy is still an open issue.

methodsCIK cells were generated from PBMC as previously described followed by co-incubation with mycophenolic acid (MPA) or CsA. Proliferation, cytotoxicity and receptor expression were investigated following short- (24 h), intermediate- (3 days) and long-term (7 days) MPA incubation with the intention to simulate the in vivo situation when CIK cells were given to a patient with relevant MPA/CsA plasma levels.

resultsShort-term MPA treatment led to unchanged proliferation capacity and barely had any effect on viability and cytotoxic capability in vitro. The composition of CIK cells with respect to T-, NK-like T- and NK cells remained stable. Intermediate MPA treatment lacked effects on NKG2D, FasL and TRAIL receptor expression, while an influence on proliferation and viability was detectable. Furthermore, long-term treatment significantly impaired proliferation, restricted viability and drastically reduced migration-relevant receptors accompanied by an alteration in the CD4/CD8 ratio. CD3(+)CD56(+) cells upregulated receptors relevant for CIK cell killing and migration, whereas T cells showed the most interference through significant reductions in receptor expression. Interestingly, CsA treatment had no significant influence on CIK cell viability and the cytotoxic potential against K562.

conclusionsOur data indicate that if immunosuppressant therapy is indispensable, efficacy of CIK cells is maintained at least short-term, although more frequent dosing might be necessary.

Indexed as

ImmunotherapyCell LineCell MovementCell ProliferationCell SurvivalCyclosporineCytokine-Induced Killer CellsCytokinesCytotoxicity, ImmunologicHumansMycophenolic AcidCyclosporineCytokinesMycophenolic AcidAllogeneic stem cell transplantationCIK cellsImmunosuppressive therapyImmunotherapyMMFMPA

Identifiers

PMID27620209
PMCPMC5020454
OpenAlexW2520245562

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.