Evidence map›Paper›PMID 33810515›Full record

ReviewCancers2021

Mechanisms of Immune Evasion in Acute Lymphoblastic Leukemia.

Agata Pastorczak, Krzysztof Domka, Klaudyna Fidyt, Martyna Poprzeczko, Malgorzata Firczuk

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
8.6field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 56 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Agata PastorczakDepartment of Pediatrics, Oncology and Hematology, Medical University of Lodz, 91-738 Lodz, Poland.
Krzysztof DomkaDepartment of Immunology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Klaudyna FidytDepartment of Immunology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Martyna PoprzeczkoDepartment of Immunology, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0002-8703-5614
Malgorzata FirczukDepartment of Immunology, Medical University of Warsaw, 02-097 Warsaw, Poland.ORCID 0000-0002-1719-5233
Medical University of Warsaw · PLMedical University of Lodz · PL

Funding

Narodowe Centrum Nauki 2019/35/B/NZ5/01428
6 · The paper itself

Abstract

Acute lymphoblastic leukemia (ALL) results from a clonal expansion of abnormal lymphoid progenitors of B cell (BCP-ALL) or T cell (T-ALL) origin that invade bone marrow, peripheral blood, and extramedullary sites. Leukemic cells, apart from their oncogene-driven ability to proliferate and avoid differentiation, also change the phenotype and function of innate and adaptive immune cells, leading to escape from the immune surveillance. In this review, we provide an overview of the genetic heterogeneity and treatment of BCP- and T-ALL. We outline the interactions of leukemic cells in the bone marrow microenvironment, mainly with mesenchymal stem cells and immune cells. We describe the mechanisms by which ALL cells escape from immune recognition and elimination by the immune system. We focus on the alterations in ALL cells, such as overexpression of ligands for various inhibitory receptors, including anti-phagocytic receptors on macrophages, NK cell inhibitory receptors, as well as T cell immune checkpoints. In addition, we describe how developing leukemia shapes the bone marrow microenvironment and alters the function of immune cells. Finally, we emphasize that an immunosuppressive microenvironment can reduce the efficacy of chemo- and immunotherapy and provide examples of preclinical studies showing strategies for improving ALL treatment by targeting these immunosuppressive interactions.

Indexed as

acute lymphoblastic leukemiaB cellbone marrowimmune evasionimmune systemimmunotherapymacrophagemicroenvironmentNK cellT cell

Identifiers

PMID33810515
PMCPMC8037152
OpenAlexW3141512116

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.