Evidence map›Paper›PMID 31227926›Full record

ReviewCurrent treatment options in oncology2019

Paraneoplastic and Therapy-Related Immune Complications in Thymic Malignancies.

Elizabeth A Lippner, David B Lewis, William H Robinson, Tamiko R Katsumoto

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current treatment options in oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 38 citations in OpenAlex.

  1. Thymic epithelial tumors: what's next?Cancer metastasis reviews · 2026
    Review
  2. Myasthenia Gravis and Thymoma.Muscle & nerve · 2026
    Review
  3. Article
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  15. Review
  16. Article
  17. Article
  18. Narrative review of immunotherapy in thymic malignancies.Translational lung cancer research · 2021
    Review
  19. Review
  20. Revealing the mysteries of thymoma.Journal of thoracic disease · 2020
    Article
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

4 authors at 1 institution in 1 country.

Elizabeth A LippnerDivision of Allergy, Immunology and Rheumatology, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA, 94305, USA.
David B LewisDivision of Allergy, Immunology and Rheumatology, Department of Pediatrics, School of Medicine, Stanford University, Stanford, CA, 94305, USA.
William H RobinsonDivision of Immunology and Rheumatology, Department of Medicine, School of Medicine, Stanford University, Stanford, CA, 94305, USA. wrobins@stanford.edu.
Tamiko R KatsumotoDivision of Immunology and Rheumatology, Department of Medicine, School of Medicine, Stanford University, Stanford, CA, 94305, USA. tkatsum@stanford.edu.
Stanford University · US

Funding

Prevention Center U01: Early Targets for Antigen-Specific Tolerance Induction in Preclinical Rheumatoid ArthritisU01AI101981 · NIAID · UNIVERSITY OF COLORADO DENVER · PI HOLERS, VERNON MICHAEL · 2012 to 2021
$6.2M
Large-Scale Characterization of Autoantibody Responses in Rheumatoid ArthritisR01AR063676 · NIAMS · STANFORD UNIVERSITY · PI ROBINSON, WILLIAM H · 2013 to 2017
$1.7M
NIAID NIH HHS U01 AI101981NIAMS NIH HHS R01 AR063676
6 · The paper itself

Abstract

opinion statementThe thymus is a key organ involved in establishing central immune tolerance. Thymic epithelial tumors (TETs) include thymomas and thymic carcinomas. Thymomas, which are histologically distinct from thymic carcinomas, lead to dysregulated thymopoiesis via decreased thymic epithelial expression of AIRE and MHC Class II, as well as via alterations in thymic architecture, thereby resulting in autoimmune complications that manifest as paraneoplastic disorders (PNDs). Although progress has been made in elucidating the mechanisms underlying thymoma-associated PNDs, there remains a great need to further define the underlying mechanisms and to identify additional immune biomarkers, such as novel antibodies (in "seronegative" cases) to facilitate diagnosis and monitoring of patients. In addition, a better understanding of the pathogenesis of PNDs could lead to improved treatment strategies for both thymomas and their immune complications. In advanced, refractory cases of TETs (both thymoma and thymic carcinoma), additional therapeutic approaches are needed. Immune checkpoint inhibitors have revolutionized the treatment of several malignancies and hold promise in the treatment of TETs; however, the risks for immune-related adverse events (especially for inducing PNDs as well as in the setting of pre-existing PNDs) underscore the need to optimize patient selection and improve clinical management before there can be widespread acceptance of checkpoint inhibitor therapy in patients with TETs.

Indexed as

Antineoplastic Agents, ImmunologicalBiomarkers, TumorHumansParaneoplastic SyndromesThymomaThymus NeoplasmsAntineoplastic Agents, ImmunologicalBiomarkers, TumorAutoimmune diseaseCheckpoint inhibitor therapyGood syndromeImmunodeficiencyImmunotherapyMyasthenia gravisParaneoplastic diseaseThymic carcinomaThymoma

Identifiers

PMID31227926
OpenAlexW2951831906

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.