Evidence map›Paper›PMID 34607905›Full record

ReviewThorax2022

Infections due to dysregulated immunity: an emerging complication of cancer immunotherapy.

Tommaso Morelli, Kohei Fujita, Gil Redelman-Sidi, Paul T Elkington

Open access · hybridAbstract readReview
In one paragraph

Review in Thorax, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 2% 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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

  1. Systemic treatment of immune checkpoint inhibitor-induced psoriasis: Inference-based guidance.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Hemostasis at the edge between physiology and cancer.Internal and emergency medicine · 2026
    Review
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  14. Review
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  19. Review
  20. Population-Based Analysis of the Risk of Mycobacterial Infections Associated With Immune Checkpoint Inhibitors.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article

9 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

4 authors at 3 institutions in 3 countries.

Tommaso MorelliNIHR Biomedical Research Centre, School of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID 0000-0002-2212-793X
Kohei FujitaRespiratory Medicine, National Hospital Organisation Kyoto Medical Center, Kyoto, Japan.ORCID 0000-0002-6902-9085
Gil Redelman-SidiDivision of Infectious Diseases, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Paul T ElkingtonNIHR Biomedical Research Centre, School of Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK p.elkington@soton.ac.uk.ORCID 0000-0003-0390-0613
NIHR Southampton Biomedical Research Centre · GBKyoto Medical Center · JPMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Medical Research Council MR/P023754/1NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) have revolutionised cancer treatment. However, immune-related adverse events (irAEs) are a common side effect which can mimic infection. Additionally, treatment of irAEs with corticosteroids and other immunosuppressant agents can lead to opportunistic infection, which we have classed as immunotherapy infections due to immunosuppression. However, emerging reports demonstrate that some infections can be precipitated by ICIs in the absence of immunosuppressive treatment, in contrast to the majority of reported cases. These infections are characterised by a dysregulated inflammatory immune response, and so we propose they are described as immunotherapy infections due to dysregulated immunity. This review summarises the rapidly emerging evidence of these phenomena and proposes a new framework for considering infection in the context of cancer immunotherapy.

Indexed as

NeoplasmsOpportunistic InfectionsHumansImmune Checkpoint InhibitorsImmunosuppressive AgentsImmunotherapyImmune Checkpoint InhibitorsImmunosuppressive Agentsaspergillus lung diseasebacterial infectionlung cancerlung cancer chemotherapyopportunist lung infectionstuberculosisviral infection

Identifiers

PMID34607905
PMCPMC8867274
OpenAlexW3202323220

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.