Evidence map›Paper›PMID 34292323›Full record

ArticleBlood2021

Venetoclax enhances T cell-mediated antileukemic activity by increasing ROS production.

Jong Bok Lee, Dilshad H Khan, Rose Hurren, Mingjing Xu, Yoosu Na, Hyeonjeong Kang, Sara Mirali, Xiaoming Wang, Marcela Gronda, Yulia Jitkova and 8 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 116 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 3 pooled it
9.1field-weighted citation impact, top 1% 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

116 citing papers in PubMed, 3 syntheses or guidelines pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Nucleolin Alterations and ROS Production Associate With Sensitivity of AML Cells to Venetoclax.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  9. Aging and cancer: current understandings and future perspectives.Signal transduction and targeted therapy · 2026
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56 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 3 institutions in 2 countries.

Jong Bok LeeToronto General Hospital Research Institute and.
Dilshad H KhanPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Rose HurrenPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Mingjing XuPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Yoosu NaToronto General Hospital Research Institute and.
Hyeonjeong KangToronto General Hospital Research Institute and.
Sara MiraliPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.ORCID 0000-0001-6233-9067
Xiaoming WangPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Marcela GrondaPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Yulia JitkovaPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Neil MacLeanPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Andrea ArrudaPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Zoe AlanizDepartment of Molecular Hematology and Therapy, and.ORCID 0000-0002-9424-5417
Marina Y KonoplevaDepartment of Leukemia, The University of Texas MD Anderson Cancer Center; Houston, TX; and.ORCID 0000-0002-9347-2212
Michael AndreeffDepartment of Molecular Hematology and Therapy, and.ORCID 0000-0002-1144-1958
Mark D MindenPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-9089-8816
Li ZhangToronto General Hospital Research Institute and.ORCID 0000-0003-4649-0757
Aaron D SchimmerPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.ORCID 0000-0003-4023-3899
University Health Network · CAThe University of Texas MD Anderson Cancer Center · USUniversity of Toronto · CA

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
CIHR 419699NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Venetoclax, a Bcl-2 inhibitor, in combination with the hypomethylating agent azacytidine, achieves complete remission with or without count recovery in ∼70% of treatment-naive elderly patients unfit for conventional intensive chemotherapy. However, the mechanism of action of this drug combination is not fully understood. We discovered that venetoclax directly activated T cells to increase their cytotoxicity against acute myeloid leukemia (AML) in vitro and in vivo. Venetoclax enhanced T-cell effector function by increasing reactive oxygen species generation through inhibition of respiratory chain supercomplexes formation. In addition, azacytidine induced a viral mimicry response in AML cells by activating the STING/cGAS pathway, thereby rendering the AML cells more susceptible to T cell-mediated cytotoxicity. Similar findings were seen in patients treated with venetoclax, as this treatment increased reactive oxygen species generation and activated T cells. Collectively, this study presents a new immune-mediated mechanism of action for venetoclax and azacytidine in the treatment of AML and highlights a potential combination of venetoclax and adoptive cell therapy for patients with AML.

Indexed as

AdultAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicCells, CulturedHumansImmunity, CellularLeukemia, Myeloid, AcuteReactive Oxygen SpeciesSulfonamidesT-LymphocytesTumor Cells, CulturedAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicReactive Oxygen SpeciesSulfonamidesvenetoclax

Identifiers

PMID34292323
PMCPMC8310428
OpenAlexW3138818958

What OpenQuestion holds

Textmetadata
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.