Evidence map›Paper›PMID 34933966›Full record

ArticleJournal for immunotherapy of cancer2021

Early disappearance of tumor antigen-reactive T cells from peripheral blood correlates with superior clinical outcomes in melanoma under anti-PD-1 therapy.

Jonas Bochem, Henning Zelba, Janine Spreuer, Teresa Amaral, Nikolaus B Wagner, Andrea Gaissler, Oltin T Pop, Karolin Thiel, Can Yurttas, Daniel Soffel and 13 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 6 institutions in 3 countries.

Jonas Bochem *Department of Dermatology, University Medical Center, Tübingen, Germany.
Henning Zelba *Department of Dermatology, University Medical Center, Tübingen, Germany.
Janine SpreuerDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Teresa AmaralDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Nikolaus B WagnerDepartment of Dermatology, Venereology, Allergology, Kantonsspital St. Gallen, St. Gallen, Switzerland
Andrea GaisslerDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Oltin T PopInstitute for Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Karolin ThielDepartment of General, Visceral and Transplant Surgery, University Hospital, Tübingen, Germany.
Can YurttasDepartment of General, Visceral and Transplant Surgery, University Hospital, Tübingen, Germany.
Daniel SoffelDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Stephan ForchhammerDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Tobias SinnbergDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Heike NiessnerDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Friedegund MeierSkin Cancer Center at the University Cancer Centre and National Center for Tumor Diseases Dresden; Department of Dermatology, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany.
Patrick TerheydenDepartment of Dermatology, University of Lübeck, Lübeck, Germany.ORCID 0000-0002-5894-1677
Alfred KönigsrainerDepartment of General, Visceral and Transplant Surgery, University Hospital, Tübingen, Germany.
Claus GarbeDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Lukas FlatzDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Graham PawelecHealth Sciences North Research Institute of Canada, Sudbury, Ontario, Canada.ORCID 0000-0002-3600-0163
Thomas K EigentlerDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Markus W LöfflerDepartment of General, Visceral and Transplant Surgery, University Hospital, Tübingen, Germany.ORCID 0000-0003-2513-1317
Benjamin WeideDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Kilian Wistuba-HamprechtDepartment of Dermatology, University Medical Center, Tübingen, Germany kilian.wistuba-hamprecht@uni-tuebingen.de.ORCID 0000-0002-3104-8512
University of Tübingen · DEGerman Cancer Research Center · DEKantonsspital St. Gallen · CHHealth Sciences North · CANational Center for Tumor Diseases · DEUniversity of Lübeck · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnti-programmed cell death protein 1 (PD-1) antibodies are now routinely administered for metastatic melanoma and for increasing numbers of other cancers, but still only a fraction of patients respond. Better understanding of the modes of action and predictive biomarkers for clinical outcome is urgently required. Cancer rejection is mostly T cell-mediated. We previously showed that the presence of NY-ESO-1-reactive and/or Melan-A-reactive T cells in the blood correlated with prolonged overall survival (OS) of patients with melanoma with a heterogeneous treatment background. Here, we investigated whether such reactive T cells can also be informative for clinical outcomes in metastatic melanoma under PD-1 immune-checkpoint blockade (ICB).

methodsPeripheral blood T cell stimulation by NY-ESO-1 and Melan-A overlapping peptide libraries was assessed before and during ICB in two independent cohorts of a total of 111 patients with stage IV melanoma. In certain cases, tumor-infiltrating lymphocytes could also be assessed for such responses. These were characterized using intracellular cytokine staining for interferon gamma (IFN-γ), tumor negrosis factor (TNF) and CD107a. Digital pathology analysis was performed to quantify NY-ESO-1 and Melan-A expression by tumors. Endpoints were OS and progression-free survival (PFS).

resultsThe initial presence in the circulation of NY-ESO-1- or Melan-A-reactive T cells which became no longer detectable during ICB correlated with validated, prolonged PFS (HR:0.1; p>0.0001) and OS (HR:0.2; p=0.021). An evaluation of melanoma tissue from selected cases suggested a correlation between tumor-resident NY-ESO-1- and Melan-A-reactive T cells and disease control, supporting the notion of a therapy-associated sequestration of cells from the periphery to the tumor predominantly in those patients benefitting from ICB.

conclusionsOur findings suggest a PD-1 blockade-dependent infiltration of melanoma-reactive T cells from the periphery into the tumor and imply that this seminally contributes to effective treatment.

Indexed as

AgedAged, 80 and overAntigens, NeoplasmBiomarkers, TumorCD8-Positive T-LymphocytesFemaleFollow-Up StudiesHumansImmune Checkpoint InhibitorsLeukocytes, MononuclearLymphocytes, Tumor-InfiltratingMaleMART-1 AntigenMelanomaMembrane ProteinsMiddle AgedAntigens, NeoplasmBiomarkers, TumorCTAG1B protein, humanImmune Checkpoint InhibitorsMART-1 AntigenMembrane ProteinsMLANA protein, humanPDCD1 protein, humanProgrammed Cell Death 1 Receptorbiomarkersimmunotherapylymphocytesmelanomaprogrammed cell death 1 receptortumortumor-infiltrating

Identifiers

PMID34933966
PMCPMC8693089
OpenAlexW4200325010

What OpenQuestion holds

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LicenceCC BY-NC
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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.