Evidence map›Paper›PMID 34253581›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2021

Non-invasive Detection of Immunotherapy-Induced Adverse Events.

Carolina A Ferreira, Pedram Heidari, Bahar Ataeinia, Nicoleta Sinevici, Meghan E Sise, Robert B Colvin, Eric Wehrenberg-Klee, Umar Mahmood

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 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
0.1field-weighted citation impact, top 56% 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, 1 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Approaches to Imaging Immune Activation Using PET.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2025
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Granzyme B PET Imaging for Assessment of Disease Activity in Inflammatory Bowel Disease.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2024
    Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Imaging of Activated T Cells.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Review
  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

8 authors at 1 institution in 1 country.

Carolina A FerreiraDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Pedram HeidariDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0001-6383-465X
Bahar AtaeiniaDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Nicoleta SineviciDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Meghan E SiseDivision of Nephrology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Robert B ColvinDepartment of Pathology and Medicine, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-4493-4150
Eric Wehrenberg-KleeDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
Umar MahmoodDepartment of Radiology, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0001-7414-6123
Massachusetts General Hospital · US

Funding

Granzyme B PET imaging as a marker of inflammatory bowel disease activityR01DK123143 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MAHMOOD, UMAR · 2020 to 2023
$2.3M
Cytotoxic lymphocyte function PET imaging to predict cancer immunotherapy responseR01CA214744 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI MAHMOOD, UMAR · 2017 to 2021
$1.9M
Enhancing the therapeutic effect of receptor radionuclide therapy in neuroendocrine tumors by somatostatin receptor upregulationK08CA249047 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI HEIDARI, PEDRAM · 2020 to 2024
$1.3M
NCI NIH HHS K08 CA249047NCI NIH HHS R01 CA214744NIDDK NIH HHS R01 DK123143
6 · The paper itself

Abstract

purposeCancer immunotherapy has markedly improved the prognosis of patients with a broad variety of malignancies. However, benefits are weighed against unique toxicities, with immune-related adverse events (irAE) that are frequent and potentially life-threatening. The diagnosis and management of these events are challenging due to heterogeneity of timing onset, multiplicity of affected organs, and lack of non-invasive monitoring techniques. We demonstrate the use of a granzyme B-targeted PET imaging agent (GZP) for irAE identification in a murine model. EXPERIMENTAL

designWe generated a model of immunotherapy-induced adverse events in Foxp3-DTR-GFP mice bearing MC38 tumors. GZP PET imaging was performed to evaluate organs non-invasively. We validated imaging with ex vivo analysis, correlating the establishment of these events with the presence of immune infiltrates and granzyme B upregulation in tissue. To demonstrate the clinical relevance of our findings, the presence of granzyme B was identified through immunofluorescence staining in tissue samples of patients with confirmed checkpoint inhibitor-associated adverse events.

resultsGZP PET imaging revealed differential uptake in organs affected by irAEs, such as colon, spleen, and kidney, which significantly diminished after administration of the immunosuppressor dexamethasone. The presence of granzyme B and immune infiltrates were confirmed histologically and correlated with significantly higher uptake in PET imaging. The presence of granzyme B was also confirmed in samples from patients that presented with clinical irAEs.

conclusionsWe demonstrate an interconnection between the establishment of irAEs and granzyme B presence and, for the first time, the visualization of those events through PET imaging.

Indexed as

ImmunotherapyNeoplasmsAnimalsHumansImmunologic FactorsMicePositron-Emission TomographyRetrospective StudiesImmunologic Factors

Identifiers

PMID34253581
PMCPMC8752648
OpenAlexW3157926260

What OpenQuestion holds

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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.