Evidence map›Paper›PMID 28031229›Full record

ArticleCancer research2017

Immune Toxicities Elicted by CTLA-4 Blockade in Cancer Patients Are Associated with Early Diversification of the T-cell Repertoire.

David Y Oh, Jason Cham, Li Zhang, Grant Fong, Serena S Kwek, Mark Klinger, Malek Faham, Lawrence Fong

Abstract read
In one paragraph

Article in Cancer research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 148 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 3 pooled it
7.1field-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

148 citing papers in PubMed, 3 syntheses or guidelines pooled it, 240 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Trial
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  8. Article
  9. Review
  10. Article
  11. Review
  12. Machine learning in AIRR diagnostics: Advances and applications.Immunoinformatics (Amsterdam, Netherlands) · 2025
    Article
  13. Review
  14. Clonally expanded effector CD4Journal for immunotherapy of cancer · 2025
    Article
  15. Review
  16. Immune checkpoint inhibition perturbs neuro-immune homeostasis and impairs cognitive function.Journal of experimental & clinical cancer research : CR · 2025
    Article
  17. Review
  18. Article
  19. Review
  20. Review

88 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

8 authors at 2 institutions in 1 country.

David Y OhHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Jason ChamHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Li ZhangHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Grant FongHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Serena S KwekHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Mark KlingerAdaptive Biotechnologies, South San Francisco, California.
Malek FahamAdaptive Biotechnologies, South San Francisco, California.
Lawrence FongHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California. lfong@medicine.ucsf.edu.
UCSF Helen Diller Family Comprehensive Cancer Center · USAdaptive Biotechnologies (United States) · US

Funding

Prostatitis and Prostate Cancer DevelopmentR01CA163012 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FONG, LAWRENCE · 2012 to 2016
$2.0M
Prostate Cancer ImmunotherapyR01CA136753 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FONG, LAWRENCE · 2009 to 2013
$1.6M
NCI NIH HHS R01 CA136753NCI NIH HHS R01 CA163012
6 · The paper itself

Abstract

While immune checkpoint blockade elicits efficacious responses in many patients with cancer, it also produces a diverse and unpredictable number of immune-related adverse events (IRAE). Mechanisms driving IRAEs are generally unknown. Because CTLA-4 blockade leads to proliferation of circulating T cells, we examined in this study whether ipilimumab treatment leads to clonal expansion of tissue-reactive T cells. Rather than narrowing the T-cell repertoire to a limited number of clones, ipilimumab induced greater diversification in the T-cell repertoire in IRAE patients compared with patients without IRAEs. Specifically, ipilimumab triggered increases in the numbers of clonotypes, including newly detected clones and a decline in overall T-cell clonality. Initial broadening in the repertoire occurred within 2 weeks of treatment, preceding IRAE onset. IRAE patients exhibited greater diversity of CD4

Indexed as

Antibodies, MonoclonalCTLA-4 AntigenGranulocyte-Macrophage Colony-Stimulating FactorHumansIpilimumabMalePrognosisProstatic Neoplasms, Castration-ResistantT-Lymphocytes, RegulatoryT-Lymphocyte SubsetsAntibodies, MonoclonalCTLA-4 AntigenCTLA4 protein, humanGranulocyte-Macrophage Colony-Stimulating FactorIpilimumab

Identifiers

PMID28031229
PMCPMC5398199
OpenAlexW2566809924

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.