Evidence map›Paper›PMID 34654437›Full record

ReviewJournal of experimental & clinical cancer research : CR2021

Restoration of the immune function as a complementary strategy to treat Chronic Lymphocytic Leukemia effectively.

Carol Moreno, Cecilia Muñoz, María José Terol, José-Ángel Hernández-Rivas, Miguel Villanueva

Abstract readReview
In one paragraph

Review in Journal of experimental & clinical cancer research : CR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

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  12. Exploring treatment options in cancer: Tumor treatment strategies.Signal transduction and targeted therapy · 2024
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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

5 authors.

Carol MorenoHospital Santa Creu i San Pau, Barcelona, Spain.
Cecilia MuñozHospital Universitario de la Princesa, Madrid, Spain.
María José TerolHospital Clínico de Valencia, Valencia, Spain.
José-Ángel Hernández-RivasHospital Universitario Infanta Leonor, Universidad Complutense de Madrid, Madrid, Spain. jahernandezr@salud.madrid.org.ORCID http://orcid.org/0000-0003-4550-757X
Miguel VillanuevaDepartamento Médico - Hematología, Janssen-Cilag, S.A, Spain.

Funding

Janssen-Cilag, S.A. N/A
6 · The paper itself

Abstract

Chronic Lymphocytic Leukemia (CLL) is a hematological malignancy characterized by uncontrolled proliferation of B-cells and severe immune dysfunction. Chemo(immuno)therapies (CIT) have traditionally aimed to reduce tumor burden without fully understanding their effects on the immune system. As a consequence, CIT are usually associated with higher risk of infections, secondary neoplasms and autoimmune disorders. A better understanding of the biology of the disease has led to the development of therapeutic strategies which not only act against malignant B-cells but also reactivate and enhance the patient's own anti-tumor immune response. Here, we review the current understanding of the underlying interplay between the malignant cells and non-malignant immune cells that may promote tumor survival and proliferation. In addition, we review the available evidence on how different treatment options for CLL including CIT regimens, small molecular inhibitors (i.e, BTK inhibitors, PI3K inhibitors, BCL-2 inhibitors) and T-cell therapies, affect the immune system and their clinical consequences. Finally, we propose that a dual therapeutic approach, acting directly against malignant B-cells and restoring the immune function is clinically relevant and should be considered when developing future strategies to treat patients with CLL.

Indexed as

HumansImmunotherapyLeukemia, Lymphocytic, Chronic, B-CellChronic Lymphocytic LeukemiaCLLIbrutinibImmune function

Identifiers

PMID34654437
PMCPMC8517318

What OpenQuestion holds

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Registered trials

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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.