Evidence map›Paper›PMID 34471116›Full record

ArticleNature communications2021

Cytotoxic T cells are able to efficiently eliminate cancer cells by additive cytotoxicity.

Bettina Weigelin, Annemieke Th den Boer, Esther Wagena, Kelly Broen, Harry Dolstra, Rob J de Boer, Carl G Figdor, Johannes Textor, Peter Friedl

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 154 papers.

0numbers the graph read from it
0cells of the map it votes in
154citing papers in PubMed
13.9field-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

154 citing papers in PubMed, 227 citations in OpenAlex.

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  15. Advanced Microscopy Techniques.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2026
    Review
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94 more citing papers are in PubMed but not listed here.

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

9 authors at 4 institutions in 3 countries.

Bettina WeigelinDepartment of Cell Biology, RIMLS, Radboud University Medical Center, Nijmegen, The Netherlands. bettina.weigelin@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0003-4460-3113
Annemieke Th den BoerDepartment of Internal Medicine, Maastricht University, Maastricht, The Netherlands.
Esther WagenaDepartment of Cell Biology, RIMLS, Radboud University Medical Center, Nijmegen, The Netherlands.
Kelly BroenDepartment of Laboratory Medicine - Laboratory of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands.
Harry DolstraDepartment of Laboratory Medicine - Laboratory of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands.
Rob J de BoerTheoretical Biology and Bioinformatics, Utrecht University, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-2130-691X
Carl G FigdorDepartment of Tumor Immunology, RIMLS, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-2366-9212
Johannes TextorDepartment of Tumor Immunology, RIMLS, Radboud University Medical Centre, Nijmegen, The Netherlands.
Peter FriedlDepartment of Cell Biology, RIMLS, Radboud University Medical Center, Nijmegen, The Netherlands. peter.friedl@radboudumc.nl.ORCID http://orcid.org/0000-0002-0119-4041
Radboud University Nijmegen · NLThe University of Texas MD Anderson Cancer Center · USMaastricht University · NLUtrecht University · NL

Funding

European Research Council 617430
6 · The paper itself

Abstract

Lethal hit delivery by cytotoxic T lymphocytes (CTL) towards B lymphoma cells occurs as a binary, "yes/no" process. In non-hematologic solid tumors, however, CTL often fail to kill target cells during 1:1 conjugation. Here we describe a mechanism of "additive cytotoxicity" by which time-dependent integration of sublethal damage events, delivered by multiple CTL transiting between individual tumor cells, mediates effective elimination. Reversible sublethal damage includes perforin-dependent membrane pore formation, nuclear envelope rupture and DNA damage. Statistical modeling reveals that 3 serial hits delivered with decay intervals below 50 min discriminate between tumor cell death or survival after recovery. In live melanoma lesions in vivo, sublethal multi-hit delivery is most effective in interstitial tissue where high CTL densities and swarming support frequent serial CTL-tumor cell encounters. This identifies CTL-mediated cytotoxicity by multi-hit delivery as an incremental and tunable process, whereby accelerating damage magnitude and frequency may improve immune efficacy.

Indexed as

Cytotoxicity, ImmunologicAnimalsApoptosisCell DeathCell Line, TumorDNA DamageFemaleHumansKineticsMaleMCF-7 CellsMelanomaMiceMice, Inbred C57BLPerforinT-Lymphocytes, CytotoxicPerforinPRF1 protein, human

Identifiers

PMID34471116
PMCPMC8410835
OpenAlexW3198677380

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.