Evidence map›Paper›PMID 34103328›Full record

ArticleCancer discovery2021

AXL Inhibition in Macrophages Stimulates Host-versus-Leukemia Immunity and Eradicates Naïve and Treatment-Resistant Leukemia.

Irene Tirado-Gonzalez, Arnaud Descot, Devona Soetopo, Aleksandra Nevmerzhitskaya, Alexander Schäffer, Ivan-Maximilano Kur, Ewelina Czlonka, Carolin Wachtel, Ioanna Tsoukala, Luise Müller and 27 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer discovery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

38 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
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  10. Untangling the loops ofLeukemia & lymphoma · 2025
    Review
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  12. Review
  13. Article
  14. Article
  15. Article
  16. Phosphatidylserine externalization as immune checkpoint in cancer.Pflugers Archiv : European journal of physiology · 2024
    Review
  17. Review
  18. MERTK Inhibition as a Targeted Novel Cancer Therapy.International journal of molecular sciences · 2024
    Review
  19. Article
  20. 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

37 authors at 11 institutions in 3 countries.

Irene Tirado-Gonzalez *Institute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.
Arnaud Descot *Institute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.
Devona Soetopo *Institute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.
Aleksandra NevmerzhitskayaInstitute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.
Alexander SchäfferInstitute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.
Ivan-Maximilano KurInstitute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.ORCID 0000-0002-8530-2993
Ewelina CzlonkaInstitute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.
Carolin WachtelInstitute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.ORCID 0000-0002-0994-0360
Ioanna TsoukalaInstitute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.
Luise MüllerInstitute of Immunology, Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany.
Anna-Lena SchäferInstitute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.ORCID 0000-0002-3432-8077
Maresa WeitmannInstitute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.
Petra DinseInstitute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany.
Emily AlbertoDepartment of Immunology, Yale School of Medicine, New Haven, Connecticut.
Michèle C BuckDepartment of Medicine III, Technical University of Munich, Munich, Germany.
Jonathan Jm LandryGenomics Core Facility, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.ORCID 0000-0003-2262-9099
Bianka BayingGenomics Core Facility, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.
Julia Slotta-HuspeninaDepartment of Pathology, Technical University of Munich, Munich, Germany.
Jenny RoeslerInstitute of Neurology (Edinger-Institute), University Hospital Frankfurt, Goethe University, Germany.
Patrick N HarterInstitute of Neurology (Edinger-Institute), University Hospital Frankfurt, Goethe University, Germany.ORCID 0000-0001-5530-6910
Anne-Sophie KubaschMedical Clinic and Policlinic 1, Hematology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0002-0747-4941
Jörn MeinelInstitute of Pathology, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.
Eiman ElwakeelInstitute of Biochemistry I, Faculty of Medicine, Goethe-University Frankfurt, Frankfurt, Germany.
Elisabeth StrackInstitute of Biochemistry I, Faculty of Medicine, Goethe-University Frankfurt, Frankfurt, Germany.ORCID 0000-0003-4699-3573
Christine Tran QuangInstitut Curie, PSL Research University, CNRS UMR 3348, Orsay, France.ORCID 0000-0002-1003-2626
Omar Abdel-WahabDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Marc SchmitzInstitute of Immunology, Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany.
Andreas WeigertGerman Cancer consortium (DKTK) & German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID 0000-0002-7529-1952
Tobias SchmidInstitute of Biochemistry I, Faculty of Medicine, Goethe-University Frankfurt, Frankfurt, Germany.
Uwe PlatzbeckerGerman Cancer consortium (DKTK) & German Cancer Research Center (DKFZ), Heidelberg, Germany.
Vladimir BenesGenomics Core Facility, European Molecular Biology Laboratory (EMBL), Heidelberg, Germany.ORCID 0000-0002-0352-2547
Jacques GhysdaelInstitut Curie, PSL Research University, CNRS UMR 3348, Orsay, France.
Halvard BonigInstitute of Transfusion Medicine and Immunohematology, Goethe University, and German Red Cross Blood Service Baden-Württemberg-Hessen, Frankfurt/Main, Germany.ORCID 0000-0003-0088-2675
Katharina S GötzeDepartment of Medicine III, Technical University of Munich, Munich, Germany.
Carla V RothlinDepartment of Immunology, Yale School of Medicine, New Haven, Connecticut.ORCID 0000-0002-5693-5572
Sourav GhoshDepartment of Pharmacology, Yale School of Medicine, New Haven, Connecticut.
Hind MedyoufInstitute for Tumor Biology and Experimental Therapy, Georg-Speyer-Haus, Frankfurt am Main, Germany. hind.medyouf@medyouflab.com.
Georg Speyer Haus · DEGoethe University Frankfurt · DEEuropean Molecular Biology Laboratory · DEYale University · USGerman Cancer Research Center · DEUniversité Paris-Sud · FRUniversity Hospital Carl Gustav Carus · DEMemorial Sloan Kettering Cancer Center · USTechnical University of Munich · DETUM Klinikum · DEUniversity Hospital Leipzig · DE

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
European Research Council 639795NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Acute leukemias are systemic malignancies associated with a dire outcome. Because of low immunogenicity, leukemias display a remarkable ability to evade immune control and are often resistant to checkpoint blockade. Here, we discover that leukemia cells actively establish a suppressive environment to prevent immune attacks by co-opting a signaling axis that skews macrophages toward a tumor-promoting tissue repair phenotype, namely the GAS6/AXL axis. Using aggressive leukemia models, we demonstrate that ablation of the AXL receptor specifically in macrophages, or its ligand GAS6 in the environment, stimulates antileukemic immunity and elicits effective and lasting natural killer cell- and T cell-dependent immune response against naïve and treatment-resistant leukemia. Remarkably, AXL deficiency in macrophages also enables PD-1 checkpoint blockade in PD-1-refractory leukemias. Finally, we provide proof-of-concept that a clinical-grade AXL inhibitor can be used in combination with standard-of-care therapy to cure established leukemia, regardless of AXL expression in malignant cells. SIGNIFICANCE: Alternatively primed myeloid cells predict negative outcome in leukemia. By demonstrating that leukemia cells actively evade immune control by engaging AXL receptor tyrosine kinase in macrophages and promoting their alternative priming, we identified a target which blockade, using a clinical-grade inhibitor, is vital to unleashing the therapeutic potential of myeloid-centered immunotherapy.

Indexed as

LeukemiaHumansImmunotherapyMacrophagesSignal Transduction

Identifiers

PMID34103328
PMCPMC7611942
OpenAlexW3167097839

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.