Evidence map›Paper›PMID 30104766›Full record

ArticleNature medicine2018

Sequestration of T cells in bone marrow in the setting of glioblastoma and other intracranial tumors.

Pakawat Chongsathidkiet, Christina Jackson, Shohei Koyama, Franziska Loebel, Xiuyu Cui, S Harrison Farber, Karolina Woroniecka, Aladine A Elsamadicy, Cosette A Dechant, Hanna R Kemeny and 13 more

Erratum issuedAbstract read
In one paragraph

Article in Nature medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 468 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
468citing papers in PubMed, 3 pooled it
25.0field-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.

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

468 citing papers in PubMed, 3 syntheses or guidelines pooled it, 645 citations in OpenAlex.

  1. Pooled it
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  9. Cytotoxic CD4Nature aging · 2026
    Article
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  13. Immunotherapy for Glioma: A compartmental framework for resistance and rational combination design.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
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408 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 10 institutions in 3 countries.

Pakawat ChongsathidkietPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.ORCID http://orcid.org/0000-0001-5363-3061
Christina JacksonDepartment of Neurosurgery, The John Hopkins University School of Medicine, Baltimore, MD, USA.
Shohei KoyamaDepartment of Respiratory Medicine and Clinical Immunology, Graduate School of Medicine, Osaka University, Suita City, Osaka, Japan.ORCID http://orcid.org/0000-0002-6897-9417
Franziska LoebelDepartment of Neurosurgery, Charité Medical University, Berlin, Germany.
Xiuyu CuiPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
S Harrison FarberPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.ORCID http://orcid.org/0000-0002-0171-6516
Karolina WoronieckaPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Aladine A ElsamadicyPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Cosette A DechantPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Hanna R KemenyPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Luis Sanchez-PerezPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Tooba A CheemaUnum Therapeutics, Cambridge, MA, USA.
Nicholas C SoudersDana-Farber Cancer Institute, Boston, MA, USA.
James E HerndonDepartment of Biostatistics and Bioinformatics, Duke University Medical Center, Durham, NC, USA.
Jean-Valery CoumansDepartment of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Jeffrey I EverittDepartment of Pathology, Duke University Medical Center, Durham, NC, USA.
Brian V NahedDepartment of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
John H SampsonPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Michael D GunnDepartment of Pathology, Duke University Medical Center, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4602-0667
Robert L MartuzaDepartment of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Glenn DranoffNovartis Institutes for Biomedical Research, Cambridge, MA, USA.
William T CurryDepartment of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Peter E FecciPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA. peter.fecci@duke.edu.
Duke Medical Center · USHarvard University · USDuke University · USBarrow Neurological Institute · USCharité - Universitätsmedizin Berlin · DEDana-Farber Cancer Institute · USFulcrum Therapeutics (United States) · USJohns Hopkins University · USNovartis (United States) · USThe University of Osaka · JP

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007171 · NIGMS · DUKE UNIVERSITY · PI KONTOS, CHRISTOPHER D · 1985 to 2021
$31.2M
GENETICALLY ENGINEERED VIRUSES FOR BRAIN TUMOR THERAPYR01NS032677 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI MARTUZA, ROBERT L · 1994 to 2022
$9.0M
A Novel Clinical Challenge in Brain Tumor Immunology: T cell SequestrationR01NS099096 · NINDS · DUKE UNIVERSITY · PI FECCI, PETER · 2017 to 2021
$1.7M
NIGMS NIH HHS T32 GM007171NINDS NIH HHS R01 NS032677NINDS NIH HHS R01 NS099096
6 · The paper itself

Abstract

T cell dysfunction contributes to tumor immune escape in patients with cancer and is particularly severe amidst glioblastoma (GBM). Among other defects, T cell lymphopenia is characteristic, yet often attributed to treatment. We reveal that even treatment-naïve subjects and mice with GBM can harbor AIDS-level CD4 counts, as well as contracted, T cell-deficient lymphoid organs. Missing naïve T cells are instead found sequestered in large numbers in the bone marrow. This phenomenon characterizes not only GBM but a variety of other cancers, although only when tumors are introduced into the intracranial compartment. T cell sequestration is accompanied by tumor-imposed loss of S1P1 from the T cell surface and is reversible upon precluding S1P1 internalization. In murine models of GBM, hindering S1P1 internalization and reversing sequestration licenses T cell-activating therapies that were previously ineffective. Sequestration of T cells in bone marrow is therefore a tumor-adaptive mode of T cell dysfunction, whose reversal may constitute a promising immunotherapeutic adjunct.

Indexed as

AnimalsBone MarrowBrain NeoplasmsEndocytosisGlioblastomaHumansLymphoid TissueLymphopeniaLysophospholipidsMice, Inbred C57BLSphingosineSpleenT-LymphocytesLysophospholipidsSphingosinesphingosine 1-phosphate

Identifiers

PMID30104766
PMCPMC6129206
OpenAlexW2887361912

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.