Evidence map›Paper›PMID 34709885›Full record

ArticleScience (New York, N.Y.)2021

p21 produces a bioactive secretome that places stressed cells under immunosurveillance.

Ines Sturmlechner, Cheng Zhang, Chance C Sine, Erik-Jan van Deursen, Karthik B Jeganathan, Naomi Hamada, Jan Grasic, David Friedman, Jeremy T Stutchman, Ismail Can and 9 more

Abstract read
In one paragraph

Article in Science (New York, N.Y.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 194 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
194citing papers in PubMed, 1 pooled it
–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

194 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  6. Review
  7. Age-associated Autoimmunity Driven by T cell Immunosenescence.bioRxiv : the preprint server for biology · 2026
    Article
  8. The immunology behind inflammaging-causes, sources, and mechanisms.The Journal of allergy and clinical immunology · 2026
    Review
  9. Article
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  11. Article
  12. Review
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  14. Article
  15. Article
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134 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Ines SturmlechnerDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-1272-5618
Cheng ZhangDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.
Chance C SineDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
Erik-Jan van DeursenDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
Karthik B JeganathanDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-5587-1266
Naomi HamadaDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
Jan GrasicDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
David FriedmanDepartment of Immunology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-1295-1562
Jeremy T StutchmanDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
Ismail CanDepartment of Biochemistry and Molecular Biology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-0569-5326
Masakazu HamadaDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.
Do Young LimDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-7663-5905
Jeong-Heon LeeEpigenomics Program, Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-4007-9166
Tamas OrdogEpigenomics Program, Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-3940-7284
Remi-Martin LabergeUnity Biotechnology, South San Francisco, CA 94080, USA.
Virginia ShapiroDepartment of Immunology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-9978-341X
Darren J BakerDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-9006-1939
Hu LiDepartment of Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-5957-5472
Jan M van DeursenDepartment of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-3042-5267

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
PILOT AND FEASIBILTY PROGRAMP30DK084567 · NIDDK · MAYO CLINIC ROCHESTER · PI GREGORY J. GORES · 2009 to 2026
$22.2M
BUBRI in Normal and Neoplastic GrowthR01CA096985 · NCI · MAYO CLINIC ROCHESTER · PI BAKER, DARREN · 2002 to 2022
$6.2M
Interstitial Cells of Cajal in Diabetic GastropathyR01DK058185 · NIDDK · UNIVERSITY OF NEVADA RENO · PI ORDOG, TAMAS · 2002 to 2020
$5.2M
Capturing the molecular complexity of Alzheimer's disease through the lens of RNA binding proteinsRF1AG056318 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI LI, HU, WOLOZIN, BENJAMIN L · 2018 to 2020
$4.4M
Determinants of pancreatic cancer and malignant melanoma phenotypes in CDKN2A hereditary kindredsR01CA208517 · NCI · MAYO CLINIC ROCHESTER · PI FERNANDEZ-ZAPICO, MARTIN ERNESTO, LI, HU · 2016 to 2020
$2.9M
Cellular senescence in aging and age-related disease (Supplement application)R01AG057493 · NIA · MAYO CLINIC ROCHESTER · PI BRAM, RICHARD J · 2018 to 2022
$1.9M
A network platform to connect drug response and prognosis phenotypes for cancersR01CA196631 · NCI · MAYO CLINIC ROCHESTER · PI LI, HU · 2016 to 2018
$1.2M
Using fMRI-guided TMS to increase central executive function in older adultsR01AG050618 · NIA · DUKE UNIVERSITY · PI APPELBAUM, LAWRENCE G., CABEZA, ROBERTO · 2015 to 2015
$497k
NCI NIH HHS P30 CA015083NCI NIH HHS R01 CA096985NCI NIH HHS R01 CA196631NCI NIH HHS R01 CA208517NIA NIH HHS R01 AG050618NIA NIH HHS R01 AG057493NIA NIH HHS RF1 AG056318NIDDK NIH HHS P30 DK084567NIDDK NIH HHS R01 DK058185
6 · The paper itself

Abstract

Immune cells identify and destroy damaged cells to prevent them from causing cancer or other pathologies by mechanisms that remain poorly understood. Here, we report that the cell-cycle inhibitor p21 places cells under immunosurveillance to establish a biological timer mechanism that controls cell fate. p21 activates retinoblastoma protein (Rb)–dependent transcription at select gene promoters to generate a complex bioactive secretome, termed p21-activated secretory phenotype (PASP). The PASP includes the chemokine CXCL14, which promptly attracts macrophages. These macrophages disengage if cells normalize p21 within 4 days, but if p21 induction persists, they polarize toward an M1 phenotype and lymphocytes mount a cytotoxic T cell response to eliminate target cells, including preneoplastic cells. Thus, p21 concurrently induces proliferative arrest and immunosurveillance of cells under duress.

Indexed as

Cellular SenescenceImmunologic SurveillanceAnimalsCell Cycle CheckpointsCell LineChemokines, CXCCyclin-Dependent Kinase Inhibitor p16Cyclin-Dependent Kinase Inhibitor p21Genes, rasHepatocytesHumansMacrophagesMiceMice, TransgenicProto-Oncogene Proteins p21(ras)Retinoblastoma ProteinCdkn1a protein, mouseCdkn2a protein, mouseChemokines, CXCCXCL14 protein, mouseCyclin-Dependent Kinase Inhibitor p16Cyclin-Dependent Kinase Inhibitor p21Hras protein, mouseProto-Oncogene Proteins p21(ras)Retinoblastoma Protein

Identifiers

PMID34709885
PMCPMC8985214

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.