Evidence map›Paper›PMID 29691471›Full record

ArticleLeukemia2018

Baricitinib-induced blockade of interferon gamma receptor and interleukin-6 receptor for the prevention and treatment of graft-versus-host disease.

Jaebok Choi, Matthew L Cooper, Karl Staser, Kidist Ashami, Kiran R Vij, Bing Wang, Lynne Marsala, Jessica Niswonger, Julie Ritchey, Bader Alahmari and 4 more

Open access · greenAbstract read
In one paragraph

Article in Leukemia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
7.3field-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

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

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8 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

14 authors at 2 institutions in 2 countries.

Jaebok ChoiDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA. jchoi25@wustl.edu.ORCID http://orcid.org/0000-0002-5590-087X
Matthew L CooperDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Karl StaserDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Kidist AshamiDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Kiran R VijDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Bing WangDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Lynne MarsalaDepartment of Radiology, Molecular Imaging Center, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Jessica NiswongerDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Julie RitcheyDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Bader AlahmariDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.ORCID http://orcid.org/0000-0002-6026-1347
Samuel AchilefuDepartment of Radiology, Molecular Imaging Center, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Ikuo TsunodaDepartment of Microbiology, Kindai University Faculty of Medicine, Osakasayama, Osaka, 589-8511, Japan.
Mark A SchroederDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA.
John F DiPersioDepartment of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, MO, 63110, USA. jdipersi@wustl.edu.
Washington University in St. Louis · USKindai University · JP

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
Targeting the Bone Marrow Microenvironment In Acute Lymphocytic LeukemiaP50CA171963 · NCI · WASHINGTON UNIVERSITY · PI Daniel C Link · 2013 to 2026
$31.6M
Washington University DDRCC Supplemental Equipment RequestP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · PI Nicholas O. Davidson · 2000 to 2026
$30.8M
WU-MDACC Inter-Institutional Molecular Imaging CenterP50CA094056 · NCI · WASHINGTON UNIVERSITY · PI PIWNICA-WORMS, DAVID · 2002 to 2016
$26.3M
Project 2 - Radiation-Induced Treatment of Multiple Myeloma using NanoparticlesU54CA199092 · NCI · WASHINGTON UNIVERSITY · PI ACHILEFU, SAMUEL · 2015 to 2019
$11.5M
Optimizing Hematopoietic Stem Cell Transplantation For The Treatment Of Hematological MalignanciesR35CA210084 · NCI · WASHINGTON UNIVERSITY · PI John F. Dipersio · 2017 to 2026
$7.8M
COBRE Center for Molecular and Tumor VirologyP30GM110703 · NIGMS · LOUISIANA STATE UNIV HSC SHREVEPORT · PI SAPP, MARTIN · 2014 to 2018
$4.8M
NCI NIH HHS P30 CA091842NCI NIH HHS P50 CA094056NCI NIH HHS P50 CA171963NCI NIH HHS R35 CA210084NCI NIH HHS U54 CA199092NIDDK NIH HHS P30 DK052574NIGMS NIH HHS P30 GM110703
6 · The paper itself

Abstract

The therapeutic benefits of allogeneic hematopoietic stem cell transplantation (allo-HSCT) are derived from the graft-versus-leukemia (GvL) effects of the procedure. There is a strong association between the GvL effects and graft-versus-host disease (GvHD), a major life-threatening complication of allo-HSCT. The limiting of GvHD while maintaining the GvL effect remains the goal of allo-HSCT. Therefore, identifying optimal therapeutic targets to selectively suppress GvHD while maintaining the GvL effects represents a significant unmet medical need. We demonstrate that the dual inhibition of interferon gamma receptor (IFNγR) and interleukin-6 receptor (IL6R) results in near-complete elimination of GvHD in a fully major histocompatibility complex-mismatched allo-HSCT model. Furthermore, baricitinib (an inhibitor of Janus kinases 1 and 2 (JAK1/JAK2) downstream of IFNγR/IL6R) completely prevented GvHD; expanded regulatory T cells by preserving JAK3-STAT5 signaling; downregulated CXCR3 and helper T cells 1 and 2 while preserving allogeneic antigen-presenting cell-stimulated T-cell proliferation; and suppressed the expression of major histocompatibility complex II (I-Ad), CD80/86, and PD-L1 on host antigen-presenting cells. Baricitinib also reversed established GvHD with 100% survival, thus demonstrating both preventive and therapeutic roles for this compound. Remarkably, baricitinib enhanced the GvL effects, possibly by downregulating tumor PD-L1 expression.

Indexed as

AnimalsAntigen-Presenting CellsAzetidinesB7-1 AntigenB7-2 AntigenB7-H1 AntigenCell ProliferationCells, CulturedGraft vs Host DiseaseHematopoietic Stem Cell TransplantationInterferon gamma ReceptorJanus Kinase 1MaleMicePurinesPyrazolesAzetidinesB7-1 AntigenB7-2 AntigenB7-H1 AntigenbaricitinibInterferon gamma ReceptorJanus Kinase 1PurinesPyrazolesReceptors, InterferonReceptors, Interleukin-6Sulfonamides

Identifiers

PMID29691471
PMCPMC6168427
OpenAlexW2796282781

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.