Evidence map›Paper›PMID 31211693›Full record

ArticleJCI insight2019

Regulation of murine NK cell exhaustion through the activation of the DNA damage repair pathway.

Maite Alvarez, Federico Simonetta, Jeanette Baker, Antonio Pierini, Arielle S Wenokur, Alyssa R Morrison, William J Murphy, Robert S Negrin

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
4.5field-weighted citation impact, top 4% 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

61 citing papers in PubMed, 92 citations in OpenAlex.

  1. Article
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  6. Aging and immunity: the age-old tango.Genes & development · 2025
    Review
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  11. Review
  12. Review
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  14. Article
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  18. Review
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  20. Article

1 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

8 authors at 2 institutions in 1 country.

Maite AlvarezBlood and Marrow Transplantation, Stanford University School of Medicine, Stanford, California, USA.
Federico SimonettaBlood and Marrow Transplantation, Stanford University School of Medicine, Stanford, California, USA.
Jeanette BakerBlood and Marrow Transplantation, Stanford University School of Medicine, Stanford, California, USA.
Antonio PieriniBlood and Marrow Transplantation, Stanford University School of Medicine, Stanford, California, USA.
Arielle S WenokurBlood and Marrow Transplantation, Stanford University School of Medicine, Stanford, California, USA.
Alyssa R MorrisonBlood and Marrow Transplantation, Stanford University School of Medicine, Stanford, California, USA.
William J MurphyDepartment of Dermatology and Internal Medicine, University of California, Davis, Sacramento, California, USA.
Robert S NegrinBlood and Marrow Transplantation, Stanford University School of Medicine, Stanford, California, USA.
Stanford Blood Center · USUniversity of California, Davis · US

Funding

TUMOR SPECIFIC CYTOTOXIC T-LYMPHOCYTES IN BONE MARROW TRANSPLANTATIONP01CA049605 · NCI · STANFORD UNIVERSITY · PI David B. Miklos · 1989 to 2026
$73.3M
Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI Melinda L. Telli · 2007 to 2026
$71.4M
NK Cells in GVHD and GVTR01CA125276 · NCI · STANFORD UNIVERSITY · PI NEGRIN, ROBERT S · 2008 to 2012
$1.5M
NCI NIH HHS P01 CA049605NCI NIH HHS P30 CA124435NCI NIH HHS R01 CA125276
6 · The paper itself

Abstract

NK cell exhaustion (NCE) due to sustained proliferation results in impaired NK cell function with loss of cytokine production and lytic activity. Using murine models of chronic NK cell stimulation, we have identified a phenotypic signature of NCE characterized by up-regulation of the terminal differentiation marker KLRG1 and by down-regulation of eomesodermin and the activating receptor NKG2D. Chronic stimulation of mice lacking NKG2D resulted in minimized NCE compared to control mice, thus identifying NKG2D as a crucial mediator of NCE. NKG2D internalization and downregulations on NK cells has been previously observed in the presence of tumor cells with high expression of NKG2D ligands (NKG2DL) due to the activation of the DNA damage repair pathways. Interestingly, our study revealed that during NK cell activation there is an increase of MULT1, and NKG2DL, that correlates with an induction of DNA damage. Treatment with the ATM DNA damage repair pathway inhibitor KU55933 (KU) during activation reduced NCE by improving expression of activation markers and genes involved in cell survival, by sustaining NKG2D expression and by preserving cell functionality. Importantly, NK cells expanded ex vivo in the presence of KU displayed increased anti-tumor efficacy in both NKG2D-dependent and -independent mouse models. Collectively, these data demonstrate that NCE is caused by DNA damage and regulated, at least in part, by NKG2D. Further, the prevention of NCE is a promising strategy to improve NK cell-based immunotherapy.

Indexed as

AnimalsCell DifferentiationCell Line, TumorCell ProliferationCell SurvivalDisease Models, AnimalDNA DamageDNA RepairFemaleHistocompatibility Antigens Class IHumansKiller Cells, NaturalLymphocyte ActivationMembrane ProteinsMiceMice, Knockout2-morpholin-4-yl-6-thianthren-1-yl-pyran-4-oneHistocompatibility Antigens Class IKlrk1 protein, mouseMembrane ProteinsMorpholinesNK Cell Lectin-Like Receptor Subfamily KPyronesUL16 binding protein 1, mouseDNA repairImmunologyImmunotherapyNK cellsOncology

Identifiers

PMID31211693
PMCPMC6675585
OpenAlexW2949370074

What OpenQuestion holds

Textmetadata
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.