Evidence map›Paper›PMID 33926057›Full record

ArticleCancers2021

Immune Monitoring during Therapy Reveals Activitory and Regulatory Immune Responses in High-Risk Neuroblastoma.

Celina L Szanto, Annelisa M Cornel, Sara M Tamminga, Eveline M Delemarre, Coco C H de Koning, Denise A M H van den Beemt, Ester Dunnebach, Michelle L Tas, Miranda P Dierselhuis, Lieve G A M Tytgat and 5 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Blocking MIF secretion enhances CAR T-cell efficacy against neuroblastoma.European journal of cancer (Oxford, England : 1990) · 2025
    Article
  2. Neuroblastoma-A Review of Combination Immunotherapy.International journal of molecular sciences · 2024
    Review
  3. Article
  4. Targeting the myeloid microenvironment in neuroblastoma.Journal of experimental & clinical cancer research : CR · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. The immune cell atlas of human neuroblastoma.Cell reports. Medicine · 2022
    Article
  9. Article
  10. Article
  11. 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

15 authors.

Celina L SzantoPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.
Annelisa M CornelPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.ORCID 0000-0001-8349-121X
Sara M TammingaCenter for Translational Immunology, University Medical Center Utrecht, Utrecht University, 3584 CX Utrecht, The Netherlands.ORCID 0000-0002-6194-2400
Eveline M DelemarreCenter for Translational Immunology, University Medical Center Utrecht, Utrecht University, 3584 CX Utrecht, The Netherlands.
Coco C H de KoningPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.ORCID 0000-0003-3992-8570
Denise A M H van den BeemtPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.
Ester DunnebachPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.
Michelle L TasPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.ORCID 0000-0002-4585-5411
Miranda P DierselhuisPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.
Lieve G A M TytgatPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.
Max M van NoeselPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.
Kathelijne C J M KraalPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.ORCID 0000-0001-9630-0814
Jaap-Jan BoelensStem Cell Transplantation and Cellular Therapies Program, Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
Alwin D R HuitemaPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.
Stefan NierkensPrincess Máxima Center for Pediatric Oncology, Utrecht University, 3584 CS Utrecht, The Netherlands.ORCID 0000-0003-3406-817X

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748Villa Joep Foundation IWOV-Actief.51391.180034
6 · The paper itself

Abstract

Despite intensive treatment, including consolidation immunotherapy (IT), prognosis of high-risk neuroblastoma (HR-NBL) is poor. Immune status of patients over the course of treatment, and thus immunological features potentially explaining therapy efficacy, are largely unknown. In this study, the dynamics of immune cell subsets and their function were explored in 25 HR-NBL patients at diagnosis, during induction chemotherapy, before high-dose chemotherapy, and during IT. The dynamics of immune cells varied largely between patients. IL-2- and GM-CSF-containing IT cycles resulted in significant expansion of effector cells (NK-cells in IL-2 cycles, neutrophils and monocytes in GM-CSF cycles). Nonetheless, the cytotoxic phenotype of NK-cells was majorly disturbed at the start of IT, and both IL-2 and GM-CSF IT cycles induced preferential expansion of suppressive regulatory T-cells. Interestingly, proliferative capacity of purified patient T-cells was impaired at diagnosis as well as during therapy. This study indicates the presence of both immune-enhancing as well as regulatory responses in HR-NBL patients during (immuno)therapy. Especially the double-edged effects observed in IL-2-containing IT cycles are interesting, as this potentially explains the absence of clinical benefit of IL-2 addition to IT cycles. This suggests that there is a need to combine anti-GD2 with more specific immune-enhancing strategies to improve IT outcome in HR-NBL.

Indexed as

anti-GD2ASCTdinutuximabGM-CSFIL-2immune monitoringimmunotherapyneuroblastoma

Identifiers

PMID33926057
PMCPMC8123570

What OpenQuestion holds

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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.