Evidence map›Paper›PMID 34433020›Full record

ArticleCell reports2021

Evaluating the impact of age on immune checkpoint therapy biomarkers.

Rossin Erbe, Zheyu Wang, Sharon Wu, Joanne Xiu, Neeha Zaidi, Jennifer La, David Tuck, Nathanael Fillmore, Nicolas A Giraldo, Michael Topper and 15 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Cell reports, 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 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  8. Review
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  10. Review
  11. Ageing, immune fitness and cancer.Nature reviews. Cancer · 2025
    Review
  12. Review
  13. Review
  14. Aging and immunity: the age-old tango.Genes & development · 2025
    Review
  15. Age-dependent cytokine surge in blood precedes cancer diagnosis.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  16. Article
  17. Review
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  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 8 institutions in 1 country.

Rossin ErbeMcKusick-Nathans Institute of the Department of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA; Department of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Zheyu WangDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Sharon WuCaris Life Sciences, Irving, TX, USA.
Joanne XiuCaris Life Sciences, Irving, TX, USA.
Neeha ZaidiDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Jennifer LaVA Boston Healthcare System, Boston, MA, USA.
David TuckVA Boston Healthcare System, Boston, MA, USA.
Nathanael FillmoreVA Boston Healthcare System, Boston, MA, USA.
Nicolas A GiraldoDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA; Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Michael TopperDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Stephen BaylinDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Marc LippmanLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, USA.
Claudine IsaacsLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, USA.
Reva BashoCedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute, 8700 Beverly Boulevard, #AC-1046A, Los Angeles, CA 90048, USA.
Ilya SerebriiskiiFox Chase Cancer Center, Philadelphia, PA, USA.
Heinz-Josef LenzKeck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Igor AstsaturovFox Chase Cancer Center, Philadelphia, PA, USA.
John MarshallLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, USA.
Josephine TavernaDivision of Hematology and Oncology, Department of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Jerry LeeKeck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Elizabeth M JaffeeDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Evanthia T Roussos TorresKeck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Ashani WeeraratnaDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA; Department of Biochemistry and Molecular Biology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Hariharan EaswaranDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Elana J FertigDepartment of Oncology, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, Baltimore, MD, USA; Department of Applied Mathematics and Statistics, Johns Hopkins University Whiting School of Engineering, Baltimore, MD, USA; Department of Biomedical Engineering, Johns Hopkins Bloomberg School of Medicine, Baltimore, MD, USA. Electronic address: ejfertig@jhmi.edu.
Johns Hopkins University · USGeorgetown University · USUniversity of Southern California · USVA Boston Healthcare System · USCaris Life Sciences (United States) · USFox Chase Cancer Center · USCedars-Sinai Medical Center · USThe University of Texas Health Science Center at San Antonio · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
Transforming Human Pancreatic Cancer Into An Immunologic DiseaseP01CA247886 · NCI · JOHNS HOPKINS UNIVERSITY · PI JAFFEE, ELIZABETH M. · 2021 to 2025
$12.7M
Targeting the Immunosuppressive Tumor Microenvironment of Pancreatic Cancer with a Neoadjuvant Platform Clinical TrialR01CA197296 · NCI · JOHNS HOPKINS UNIVERSITY · PI William Reece Burns, Eric Christenson · 2015 to 2026
$5.7M
Organoid modeling to determine and reverse age-related epigenetic changes contributing to risk of colorectal cancerR01CA229240 · NCI · JOHNS HOPKINS UNIVERSITY · PI BAYLIN, STEPHEN B., EASWARAN, HARIHARAN · 2019 to 2024
$1.9M
Characterizing age-associated epigenetic alterations and their roles in tumor developmentU01AG066101 · NIA · JOHNS HOPKINS UNIVERSITY · PI BAYLIN, STEPHEN B., EASWARAN, HARIHARAN · 2019 to 2020
$246k
NCI NIH HHS P01 CA247886NCI NIH HHS P30 CA006973NCI NIH HHS P30 CA010815NCI NIH HHS R01 CA197296NCI NIH HHS R01 CA229240NIA NIH HHS U01 AG066101
6 · The paper itself

Abstract

Both tumors and aging alter the immune landscape of tissues. These interactions may play an important role in tumor progression among elderly patients and may suggest considerations for patient care. We leverage large-scale genomic and clinical databases to perform comprehensive comparative analysis of molecular and cellular markers of immune checkpoint blockade (ICB) response with patient age. These analyses demonstrate that aging is associated with increased tumor mutational burden, increased expression and decreased promoter methylation of immune checkpoint genes, and increased interferon gamma signaling in older patients in many cancer types studied, all of which are expected to promote ICB efficacy. Concurrently, we observe age-related alterations that might be expected to reduce ICB efficacy, such as decreases in T cell receptor diversity. Altogether, these changes suggest the capacity for robust ICB response in many older patients, which may warrant large-scale prospective study on ICB therapies among patients of advanced age.

Indexed as

Age FactorsB7-H1 AntigenBiomarkers, TumorGenomicsHumansImmunotherapyNeoplasmsProspective StudiesB7-H1 AntigenBiomarkers, TumoragingcancergenomicsimmuneimmunotherapyTCGA

Identifiers

PMID34433020
PMCPMC8757482
OpenAlexW3195094572

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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.