Evidence map›Paper›PMID 30975638›Full record

ArticleBlood2019

PD-1/PD-L1 immune checkpoint and p53 loss facilitate tumor progression in activated B-cell diffuse large B-cell lymphomas.

Marién Pascual, María Mena-Varas, Eloy Francisco Robles, Maria-Jose Garcia-Barchino, Carlos Panizo, Sandra Hervas-Stubbs, Diego Alignani, Ainara Sagardoy, Jose Ignacio Martinez-Ferrandis, Karen L Bunting and 13 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05280626 (First-line Treatment of P53 Mutation With PD-L1 Expression in DLBCL With Anti-PD-1 Mab and R-CHOP), which is not on this map. Cited by 73 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 3 pooled it
6.5field-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.

NCT05280626 phase2not yet recruitingnot on this mapstarted 2022, after this paper: background citation

First-line Treatment of P53 Mutation With PD-L1 Expression in DLBCL With Anti-PD-1 Mab and R-CHOP: a Randomized, Open, Multicenter Clinical Study

TypeinterventionalSponsorInnovent Biologics (Suzhou) Co. Ltd.Ran2022 to 2026Enrolled100ConditionsDiffuse Large B-Cell LymphomaArmsSintilimab, Rituximab
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 3 syntheses or guidelines pooled it, 96 citations in OpenAlex.

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13 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

23 authors at 7 institutions in 4 countries.

Marién PascualHemato-Oncology Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, CIBERONC, University of Navarra, Pamplona, Spain.ORCID 0000-0002-1678-1054
María Mena-VarasHemato-Oncology Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, CIBERONC, University of Navarra, Pamplona, Spain.
Eloy Francisco RoblesHemato-Oncology Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, CIBERONC, University of Navarra, Pamplona, Spain.
Maria-Jose Garcia-BarchinoHemato-Oncology Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, CIBERONC, University of Navarra, Pamplona, Spain.ORCID 0000-0001-6051-8475
Carlos PanizoDepartment of Hematology, Clínica Universidad de Navarra, Instituto de Investigación Sanitaria de Navarra, University of Navarra, Pamplona, Spain.
Sandra Hervas-StubbsImmunology and Immunotherapy Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, University of Navarra, Pamplona, Spain.ORCID 0000-0003-3391-1516
Diego AlignaniCytometry Unit, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, CIBERONC, University of Navarra, Pamplona, Spain.
Ainara SagardoyHemato-Oncology Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, CIBERONC, University of Navarra, Pamplona, Spain.
Jose Ignacio Martinez-FerrandisHemato-Oncology Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, CIBERONC, University of Navarra, Pamplona, Spain.
Karen L BuntingNew York Genome Center, New York, NY.
Stephen MeierDepartment of Applied Mathematics and Statistics, Stony Brook University, Stony Brook , NY.
Xavier SagaertCentre for Translation Cell and Tissue Research, KU Leuven, Leuven, Belgium.
Davide BagnaraKarches Center for Oncology Research, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY.ORCID 0000-0001-7889-8103
Elizabeth GuruceagaBioinformatics Platform, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, ProteoRed-ISCIII, University of Navarra, Pamplona, Spain; and.ORCID 0000-0003-0547-681X
Oscar BlancoDepartment of Pathology, University of Salamanca, Salamanca, Spain.
Jon CelayHemato-Oncology Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, CIBERONC, University of Navarra, Pamplona, Spain.ORCID 0000-0002-2017-4206
Alvaro Martínez-BaztanHemato-Oncology Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, CIBERONC, University of Navarra, Pamplona, Spain.
Noelia CasaresImmunology and Immunotherapy Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, University of Navarra, Pamplona, Spain.ORCID 0000-0003-3817-6434
Juan José LasarteImmunology and Immunotherapy Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, University of Navarra, Pamplona, Spain.ORCID 0000-0003-1641-3881
Thomas MacCarthyDepartment of Applied Mathematics and Statistics, Stony Brook University, Stony Brook , NY.ORCID 0000-0003-0025-9285
Ari MelnickDepartment of Medicine/Hematology-Oncology, Weill Cornell Medical College, New York, NY.ORCID 0000-0002-8074-2287
Jose Angel Martinez-ClimentHemato-Oncology Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, CIBERONC, University of Navarra, Pamplona, Spain.ORCID 0000-0002-7938-3950
Sergio RoaHemato-Oncology Program, Centro de Investigación Médica Aplicada, Instituto de Investigación Sanitaria de Navarra, CIBERONC, University of Navarra, Pamplona, Spain.ORCID 0000-0003-1095-0715
Navarre Institute of Health Research · ESCornell University · USStony Brook University · USInstituto de Salud Carlos III · ESKU Leuven · BENorthwell Health · USUniversidad de Salamanca · ES

Funding

Targeting Epigenetic Circuits in B-Cell LymphomasR35CA220499 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI MELNICK, ARI M. · 2018 to 2024
$7.2M
A combined computational and experimental approach to the evolution and role of the DNA sequence environment in targeting mutations to antibody V regionsR01AI132507 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI RIZZO, ROBERT C., SCHARFF, MATTHEW D · 2018 to 2022
$3.0M
MALT1 Targeted Therapy for B-Cell LymphomaR01CA187492 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI MELNICK, ARI M. · 2014 to 2017
$1.4M
High-throughput informatics for antibodiesR01GM111741 · NIGMS · STATE UNIVERSITY NEW YORK STONY BROOK · PI MACCARTHY, THOMAS · 2015 to 2018
$1.1M
NCI NIH HHS R01 CA187492NCI NIH HHS R35 CA220499NIAID NIH HHS R01 AI132507NIGMS NIH HHS R01 GM111741
6 · The paper itself

Abstract

Refractory or relapsed diffuse large B-cell lymphoma (DLBCL) often associates with the activated B-cell-like (ABC) subtype and genetic alterations that drive constitutive NF-κB activation and impair B-cell terminal differentiation. Here, we show that DNA damage response by p53 is a central mechanism suppressing the pathogenic cooperation of IKK2ca-enforced canonical NF-κB and impaired differentiation resulting from Blimp1 loss in ABC-DLBCL lymphomagenesis. We provide evidences that the interplay between these genetic alterations and the tumor microenvironment select for additional molecular addictions that promote lymphoma progression, including aberrant coexpression of FOXP1 and the B-cell mutagenic enzyme activation-induced deaminase, and immune evasion through major histocompatibility complex class II downregulation, PD-L1 upregulation, and T-cell exhaustion. Consistently, PD-1 blockade cooperated with anti-CD20-mediated B-cell cytotoxicity, promoting extended T-cell reactivation and antitumor specificity that improved long-term overall survival in mice. Our data support a pathogenic cooperation among NF-κB-driven prosurvival, genetic instability, and immune evasion mechanisms in DLBCL and provide preclinical proof of concept for including PD-1/PD-L1 blockade in combinatorial immunotherapy for ABC-DLBCL.

Indexed as

Gene Expression Regulation, NeoplasticLymphocyte ActivationTumor EscapeAnimalsB7-H1 AntigenB-LymphocytesFemaleHumansImmunotherapyLymphoma, Large B-Cell, DiffuseMaleMiceMice, TransgenicProgrammed Cell Death 1 ReceptorT-LymphocytesTumor Suppressor Protein p53B7-H1 AntigenCD274 protein, humanCd274 protein, mousePDCD1 protein, humanPdcd1 protein, mouseProgrammed Cell Death 1 ReceptorTP53 protein, humanTrp53 protein, mouseTumor Suppressor Protein p53

Identifiers

PMID30975638
PMCPMC6543517
OpenAlexW2936293163

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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.