Evidence map›Paper›PMID 33229411›Full record

ArticleCancer immunology research2021

KIR3DL3 Is an Inhibitory Receptor for HHLA2 that Mediates an Alternative Immunoinhibitory Pathway to PD1.

Rupal S Bhatt, Abdulla Berjis, Julie C Konge, Kathleen M Mahoney, Alyssa N Klee, Samuel S Freeman, Chun-Hau Chen, Opeyemi A Jegede, Paul J Catalano, Jean-Christophe Pignon and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer immunology research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
4.8field-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

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

  1. Prognostic Value of HHLA2 in Patients with Solid Tumors: A Meta-Analysis.International journal of molecular sciences · 2024
    Pooled it
  2. Article
  3. Article
  4. Lysine Targeting Group-Transfer Chimeras for Proximity Induction.Angewandte Chemie (International ed. in English) · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Circulating tumor-reactive KIRNature immunology · 2025
    Article
  17. Frontiers in genetics · 2025
    Article
  18. Review
  19. Review
  20. NK cells in renal cell carcinoma and its implications for CAR-NK therapy.Frontiers in cell and developmental biology · 2025
    Review

11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 6 institutions in 2 countries.

Rupal S BhattDepartment of Medicine, Division of Hematology and Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. rbhatt@bidmc.harvard.edu gordon_freeman@dfci.harvard.edu.
Abdulla Berjis *Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Julie C Konge *Department of Medicine, Division of Hematology and Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Kathleen M Mahoney *Department of Medicine, Division of Hematology and Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Alyssa N Klee *Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Samuel S FreemanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-8285-0057
Chun-Hau ChenDepartment of Medicine, Division of Hematology and Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-4301-6996
Opeyemi A JegedeDepartment of Data Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-1763-8214
Paul J CatalanoDepartment of Data Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts.
Jean-Christophe PignonDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Maura Sticco-IvinsDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Baogong ZhuDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Ping HuaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Jo SodenRetrogenix, Chinley, High Peak, United Kingdom.
Jie ZhuBPS Bioscience, San Diego, California.
David F McDermottDepartment of Medicine, Division of Hematology and Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Antonio R ArulanandamDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Sabina SignorettiDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-5000-9105
Gordon J FreemanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts. rbhatt@bidmc.harvard.edu gordon_freeman@dfci.harvard.edu.ORCID 0000-0002-7210-5616
Dana-Farber Cancer Institute · USBeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USAngiocrine Bioscience (United States) · USBroad Institute · USTiGenix (Spain) · ES

Funding

Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI David McDermott · 2003 to 2026
$53.4M
Transgenic/KnockoutP01AI056299 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI BLAZAR, BRUCE R · 2003 to 2023
$42.5M
Training Program in Bioinformatics and Integrative GenomicsT32HG002295 · NHGRI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI Peter J Park · 2001 to 2026
$15.8M
Targeting SYK Kinase in AMLP50CA206963 · NCI · DANA-FARBER CANCER INST · PI STEGMAIER, KIMBERLY · 2017 to 2021
$10.6M
Combating Resistance to Antiangiogenic Therapy in Renal Cell CarcinomaR01CA196996 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BHATT, RUPAL S · 2015 to 2019
$2.0M
Mechanism of Acquired Resistance to VEGF-R Antagonists in RCCK08CA138900 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BHATT, RUPAL S · 2010 to 2014
$848k
NCI NIH HHS K08 CA138900NCI NIH HHS P50 CA101942NCI NIH HHS P50 CA206963NCI NIH HHS R01 CA196996NHGRI NIH HHS T32 HG002295NIAID NIH HHS P01 AI056299
6 · The paper itself

Abstract

Blockade of the PD1 pathway is a broadly effective cancer therapy, but additional immune-inhibitory pathways contribute to tumor immune evasion. HERV-H LTR-associating 2 (HHLA2; also known as B7H5 and B7H7) is a member of the B7 family of immunoregulatory ligands that mediates costimulatory effects through its interaction with the CD28 family member transmembrane and immunoglobulin domain containing 2 (TMIGD2). However, HHLA2 has also been known to have inhibitory effects on T cells. Here, we report that we have identified killer cell immunoglobulin-like receptor, three immunoglobulin domains and long cytoplasmic tail 3 (KIR3DL3) as an inhibitory receptor for HHLA2 in T cells and natural killer (NK) cells and have generated HHLA2 and KIR3DL3 antibodies that block the immune-inhibitory activity of HHLA2, preserving the costimulatory signal. It is known that HHLA2 is frequently expressed in several tumor types, including clear cell renal cell carcinoma (ccRCC). We found that HHLA2 expression was nonoverlapping with PDL1 expression in ccRCC, suggesting that HHLA2 mediates a mechanism of tumor immune evasion that is independent from PDL1. Blockade of both the PD1 and KIR3DL3 pathways may be a more effective way to reverse tumor immune evasion.

Indexed as

AnimalsB7-H1 AntigenCarcinoma, Renal CellCell Line, TumorHumansImmunoglobulinsKidney NeoplasmsKiller Cells, NaturalMiceMice, Inbred BALB CReceptors, KIRT-LymphocytesB7-H1 AntigenCD274 protein, humanHHLA2 protein, humanImmunoglobulinsKIR3DL3 protein, humanReceptors, KIR

Identifiers

PMID33229411
PMCPMC8284010
OpenAlexW3109018570

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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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.