Evidence map›Paper›PMID 29669928›Full record

ArticleJCI insight2018

CX3CR1 identifies PD-1 therapy-responsive CD8+ T cells that withstand chemotherapy during cancer chemoimmunotherapy.

Yiyi Yan, Siyu Cao, Xin Liu, Susan M Harrington, Wendy E Bindeman, Alex A Adjei, Jin Sung Jang, Jin Jen, Ying Li, Pritha Chanana and 5 more

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05029453 (A Prospective, Multicenter, Randomized Controlled Study of Apatinib Combined With Chemotherapy Versus Chemotherapy in Second-line Gastric Cancer Receiving Prior Anti-PD-1 Therapy), which is not on this map. Cited by 109 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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.

NCT05029453 phase4unknown statusnot on this mapstarted 2021, after this paper: background citation

A Prospective, Multicenter, Randomized Controlled Study of Apatinib Combined With Chemotherapy Versus Chemotherapy in Second-line Gastric Cancer Receiving Prior Anti-PD-1 Therapy

TypeinterventionalSponsorUnion Hospital, Tongji Medical College, Huazhong University of Science and TechnologyRan2021 to 2023Enrolled60ConditionsGastric Cancer, Randomized Controlled StudyArmsApatinib
3 · Its place in the literature

Who cites it

109 citing papers in PubMed, 1 synthesis or guideline pooled it, 177 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Phase II Evaluation of Stereotactic Ablative Radiotherapy (SABR) and Immunity inClinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
  4. Review
  5. Article
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  7. Review
  8. Article
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  16. CX3CR1 identifies a potent effector CD8Frontiers in immunology · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Article

49 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

15 authors at 3 institutions in 1 country.

Yiyi YanDivision of Medical Oncology.
Siyu CaoDepartment of Urology.
Xin LiuDepartment of Urology.
Susan M HarringtonDepartment of Urology.
Wendy E BindemanDepartment of Urology.
Alex A AdjeiDivision of Medical Oncology.
Jin Sung JangMayo Clinic Center of Individualized Medicine.
Jin JenMayo Clinic Center of Individualized Medicine.
Ying LiDepartment of Biomedical Statistics and Informatics.
Pritha ChananaDepartment of Biomedical Statistics and Informatics.
Aaron S MansfieldDivision of Medical Oncology.
Sean S ParkDepartment of Radiation Oncology, and.
Svetomir N MarkovicDivision of Medical Oncology.
Roxana S DroncaDivision of Medical Oncology.
Haidong DongDepartment of Urology.
Mayo Clinic in Florida · USMayo Clinic · USWinnMed · US

Funding

Paul Calabresi Program in Clinical/Translational Research at Mayo ClinicK12CA090628 · NCI · MAYO CLINIC ROCHESTER · PI WEROHA, SARAVUT · 2001 to 2025
$19.7M
Functional B7-H1 expressed by T cellsR01AI095239 · NIAID · MAYO CLINIC ROCHESTER · PI DONG, HAIDONG · 2014 to 2018
$2.0M
A Phase II Evaluation of SABR in Oligometastatic Castration-Refractory Prostate Cancer and Immunogenicity of SABRR01CA200551 · NCI · MAYO CLINIC ROCHESTER · PI DONG, HAIDONG, PARK, SEAN S · 2016 to 2018
$739k
Role of Bim and soluble B7-H1 in monitoring T cell responses to anti-PD-1 therapy in melanomaR21CA197878 · NCI · MAYO CLINIC ROCHESTER · PI DONG, HAIDONG, DRONCA, ROXANA S · 2015 to 2016
$374k
NCI NIH HHS K12 CA090628NCI NIH HHS R01 CA200551NCI NIH HHS R21 CA197878NIAID NIH HHS R01 AI095239
6 · The paper itself

Abstract

Although immune checkpoint inhibitors have resulted in durable clinical benefits in a subset of patients with advanced cancer, some patients who did not respond to initial anti-PD-1 therapy have been found to benefit from the addition of salvage chemotherapy. However, the mechanism responsible for the successful chemoimmunotherapy is not completely understood. Here we show that a subset of circulating CD8+ T cells expressing the chemokine receptor CX3CR1 are able to withstand the toxicity of chemotherapy and are increased in patients with metastatic melanoma who responded to chemoimmunotherapy (paclitaxel and carboplatin plus PD-1 blockade). These CX3CR1+CD8+ T cells have effector memory phenotypes and the ability to efflux chemotherapy drugs via the ABCB1 transporter. In line with clinical observation, our preclinical models identified an optimal sequencing of chemoimmunotherapy that resulted in an increase of CX3CR1+CD8+ T cells. Taken together, we found a subset of PD-1 therapy-responsive CD8+ T cells that were capable of withstanding chemotherapy and executing tumor rejection with their unique abilities of drug efflux (ABCB1), cytolytic activity (granzyme B and perforin), and migration to and retention (CX3CR1 and CD11a) at tumor sites. Future strategies to monitor and increase the frequency of CX3CR1+CD8+ T cells may help to design effective chemoimmunotherapy to overcome cancer resistance to immune checkpoint blockade therapy.

Indexed as

AnimalsAntineoplastic AgentsATP Binding Cassette Transporter, Subfamily BCarboplatinCD8-Positive T-LymphocytesCX3C Chemokine Receptor 1CytotoxinsDrug Therapy, CombinationFemaleGranzymesHumansImmunotherapyMaleMelanomaMiceNeoplasmsABCB1 protein, humanAntineoplastic AgentsATP Binding Cassette Transporter, Subfamily BCarboplatinCX3C Chemokine Receptor 1CX3CR1 protein, humanCytotoxinsGranzymesPaclitaxelPerforinProgrammed Cell Death 1 ReceptorCancer immunotherapyCellular immune responseImmunologyOncologyT cells

Identifiers

PMID29669928
PMCPMC5931117
OpenAlexW2800641869

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.