Evidence map›Paper›PMID 33538148›Full record

ArticleHaematologica2021

Leukemia vaccine overcomes limitations of checkpoint blockade by evoking clonal T cell responses in a murine acute myeloid leukemia model.

Dina Stroopinsky, Jessica Liegel, Manoj Bhasin, Giulia Cheloni, Beena Thomas, Swati Bhasin, Ruchit Panchal, Haider Ghiasuddin, Maryam Rahimian, Myrna Nahas and 14 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 3 institutions in 2 countries.

Dina StroopinskyBeth Israel Deaconess Medical Center, Harvard Medical School. dstroopi@bidmc.harvard.edu.
Jessica LiegelBeth Israel Deaconess Medical Center, Harvard Medical School.
Manoj BhasinBeth Israel Deaconess Medical Center, Harvard Medical School.
Giulia CheloniBeth Israel Deaconess Medical Center, Harvard Medical School.
Beena ThomasBeth Israel Deaconess Medical Center, Harvard Medical School.
Swati BhasinBeth Israel Deaconess Medical Center, Harvard Medical School.
Ruchit PanchalBeth Israel Deaconess Medical Center, Harvard Medical School.
Haider GhiasuddinBeth Israel Deaconess Medical Center, Harvard Medical School.
Maryam RahimianBeth Israel Deaconess Medical Center, Harvard Medical School.
Myrna NahasBeth Israel Deaconess Medical Center, Harvard Medical School.
Shira OrrBeth Israel Deaconess Medical Center, Harvard Medical School.
Marzia CapellettiBeth Israel Deaconess Medical Center, Harvard Medical School.
Daniela TorresBeth Israel Deaconess Medical Center, Harvard Medical School.
Cansu TacettinBeth Israel Deaconess Medical Center, Harvard Medical School.
Matthew WeinstockBeth Israel Deaconess Medical Center, Harvard Medical School.
Lina BisharatBeth Israel Deaconess Medical Center, Harvard Medical School.
Adam MorinBeth Israel Deaconess Medical Center, Harvard Medical School.
Kathleen M MahoneyDepartment of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School.
Benjamin EbertDepartment of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School.
Richard StoneDepartment of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School.
Donald KufeDepartment of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School.
Gordon J FreemanDepartment of Medical Oncology, Dana Farber Cancer Institute, Harvard Medical School.
Jacalyn RosenblattBeth Israel Deaconess Medical Center, Harvard Medical School.
David AviganBeth Israel Deaconess Medical Center, Harvard Medical School.
Hadassah Medical Center · ILDana-Farber Cancer Institute · USHarvard University · US

Funding

Targeting SYK Kinase in AMLP50CA206963 · NCI · DANA-FARBER CANCER INST · PI ASTER, JON C. · 2017 to 2021
$10.6M
NCI NIH HHS P50 CA206963
6 · The paper itself

Abstract

We have developed a personalized vaccine whereby patient derived leukemia cells are fused to autologous dendritic cells, evoking a polyclonal T cell response against shared and neo-antigens. We postulated that the dendritic cell (DC)/AML fusion vaccine would demonstrate synergy with checkpoint blockade by expanding tumor antigen specific lymphocytes that would provide a critical substrate for checkpoint blockade mediated activation. Using an immunocompetent murine leukemia model, we examined the immunologic response and therapeutic efficacy of vaccination in conjunction with checkpoint blockade with respect to leukemia engraftment, disease burden, survival and the induction of tumor specific immunity. Mice treated with checkpoint blockade alone had rapid leukemia progression and demonstrated only a modest extension of survival. Vaccination with DC/AML fusions resulted in the expansion of tumor specific lymphocytes and disease eradication in a subset of animals, while the combination of vaccination and checkpoint blockade induced a fully protective tumor specific immune response in all treated animals. Vaccination followed by checkpoint blockade resulted in upregulation of genes regulating activation and proliferation in memory and effector T cells. Long term survivors exhibited increased T cell clonal diversity and were resistant to subsequent tumor challenge. The combined DC/AML fusion vaccine and checkpoint blockade treatment offers unique synergy inducing the durable activation of leukemia specific immunity, protection from lethal tumor challenge and the selective expansion of tumor reactive clones.

Indexed as

Cancer VaccinesLeukemia, Myeloid, AcuteAnimalsAntigens, NeoplasmDendritic CellsHumansMiceT-LymphocytesVaccinationAntigens, NeoplasmCancer Vaccines

Identifiers

PMID33538148
PMCPMC8094093
OpenAlexW3129022387

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.