Evidence map›Paper›PMID 30097571›Full record

ArticleNature communications2018

A dormant TIL phenotype defines non-small cell lung carcinomas sensitive to immune checkpoint blockers.

S N Gettinger, J Choi, N Mani, M F Sanmamed, I Datar, Ryan Sowell, Victor Y Du, E Kaftan, S Goldberg, W Dong and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05317000 (A Window Trial of 5-Azacytidine or Nivolumab or Combination Nivolumab Plus 5-Azacytidine in Resectable HPV-Associated Head and Neck Squamous Cell Cancer), which is not on this map. Cited by 122 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 5 pooled it
8.4field-weighted citation impact, top 1% 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.

NCT05317000 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

A Window Trial of 5-Azacytidine or Nivolumab or Combination Nivolumab Plus 5-Azacytidine in Resectable HPV-Associated Head and Neck Squamous Cell Cancer

TypeinterventionalSponsorBarbara BurtnessRan2023 to 2028Enrolled50ConditionsSquamous Cell Carcinoma of Head and NeckArmsCombination 5-azacytidine and nivolumab, Nivolumab
3 · Its place in the literature

Who cites it

122 citing papers in PubMed, 5 syntheses or guidelines pooled it, 186 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Anti-PD-1/L1-associated immune-related adverse events as harbinger of favorable clinical outcome: systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Article
  11. Urinary biomarkers for lung cancer detection.The journal of liquid biopsy · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. EGFR: New Insights on Its Activation and Mutation in Tumor and Tumor Immunotherapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review

62 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

22 authors at 2 institutions in 1 country.

S N GettingerMedical Oncology and Yale Cancer Center, New Haven, CT, 06511, USA.
J ChoiDepartment of Genetics, Yale School of Medicine, New Haven, CT, 06511, USA.
N ManiDepartment of Pathology, Yale School of Medicine, New Haven, CT, 06511, USA.
M F SanmamedImmunobiology, Yale School of Medicine, New Haven, CT, 06511, USA.
I DatarDepartment of Pathology, Yale School of Medicine, New Haven, CT, 06511, USA.
Ryan SowellImmunobiology, Yale School of Medicine, New Haven, CT, 06511, USA.
Victor Y DuImmunobiology, Yale School of Medicine, New Haven, CT, 06511, USA.
E KaftanMedical Oncology and Yale Cancer Center, New Haven, CT, 06511, USA.
S GoldbergMedical Oncology and Yale Cancer Center, New Haven, CT, 06511, USA.
W DongDepartment of Genetics, Yale School of Medicine, New Haven, CT, 06511, USA.
D ZeltermanYale School of Public Health, New Haven, CT, 06511, USA.ORCID http://orcid.org/0000-0003-0711-8688
K PolitiMedical Oncology and Yale Cancer Center, New Haven, CT, 06511, USA.
P KavathasImmunobiology, Yale School of Medicine, New Haven, CT, 06511, USA.
S KaechImmunobiology, Yale School of Medicine, New Haven, CT, 06511, USA.
X YuYale School of Public Health, New Haven, CT, 06511, USA.
H ZhaoDepartment of Genetics, Yale School of Medicine, New Haven, CT, 06511, USA.
J SchlessingerDepartment of Pharmacology, Yale School of Medicine, New Haven, CT, 06511, USA.
R LiftonDepartment of Genetics, Yale School of Medicine, New Haven, CT, 06511, USA.
D L RimmMedical Oncology and Yale Cancer Center, New Haven, CT, 06511, USA.
L ChenImmunobiology, Yale School of Medicine, New Haven, CT, 06511, USA.
R S HerbstMedical Oncology and Yale Cancer Center, New Haven, CT, 06511, USA.
K A SchalperMedical Oncology and Yale Cancer Center, New Haven, CT, 06511, USA. kurt.schalper@yale.edu.
Yale University · USYale Cancer Center · US

Funding

Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI MEGAN C KING · 1985 to 2026
$85.0M
Yale SPORE in Lung Cancer (YSILC): The Biology and Personalized Treatment of Lung CancerP50CA196530 · NCI · YALE UNIVERSITY · PI Kurt A Schalper · 2015 to 2026
$31.1M
NCI NIH HHS P30 CA016359NCI NIH HHS P50 CA196530
6 · The paper itself

Abstract

The biological determinants of sensitivity and resistance to immune checkpoint blockers are not completely understood. To elucidate the role of intratumoral T-cells and their association with the tumor genomic landscape, we perform paired whole exome DNA sequencing and multiplexed quantitative immunofluorescence (QIF) in pre-treatment samples from non-small cell lung carcinoma (NSCLC) patients treated with PD-1 axis blockers. QIF is used to simultaneously measure the level of CD3+ tumor infiltrating lymphocytes (TILs), in situ T-cell proliferation (Ki-67 in CD3) and effector capacity (Granzyme-B in CD3). Elevated mutational load, candidate class-I neoantigens or intratumoral CD3 signal are significantly associated with favorable response to therapy. Additionally, a "dormant" TIL signature is associated with survival benefit in patients treated with immune checkpoint blockers characterized by elevated TILs with low activation and proliferation. We further demonstrate that dormant TILs can be reinvigorated upon PD-1 blockade in a patient-derived xenograft model.

Indexed as

Amino Acid SequenceAnimalsAntibodies, BlockingCarcinogenesisCarcinoma, Non-Small-Cell LungCell ProliferationCytotoxicity, ImmunologicHistocompatibility Antigens Class IHumansLung NeoplasmsLymphocyte ActivationLymphocytes, Tumor-InfiltratingMaleMice, Inbred NODMice, SCIDMutant ProteinsAntibodies, BlockingHistocompatibility Antigens Class IMutant ProteinsPDCD1 protein, humanPeptidesProgrammed Cell Death 1 Receptor

Identifiers

PMID30097571
PMCPMC6086912
OpenAlexW2886320197

What OpenQuestion holds

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LicenceCC BY
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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.