Evidence map›Paper›PMID 34980602›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2022

Circulating CD137+ T Cells Correlate with Improved Response to Anti-PD1 Immunotherapy in Patients with Cancer.

Ilaria Grazia Zizzari, Alessandra Di Filippo, Andrea Botticelli, Lidia Strigari, Angelina Pernazza, Emma Rullo, Maria Gemma Pignataro, Alessio Ugolini, Fabio Scirocchi, Francesca Romana Di Pietro and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 28 citations in OpenAlex.

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  13. CD137Journal of translational medicine · 2024
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  15. Review
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  17. Article
  18. Soluble CD137: A Potential Prognostic Biomarker in Critically Ill Patients.International journal of molecular sciences · 2023
    Article
  19. Review
  20. Circulating CD137International journal of molecular sciences · 2023
    Article
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

18 authors at 7 institutions in 2 countries.

Ilaria Grazia ZizzariLaboratory of Tumor Immunology and Cell Therapies, Department of Experimental Medicine, "Sapienza" University of Rome, Rome, Italy.ORCID 0000-0001-8263-7248
Alessandra Di FilippoLaboratory of Tumor Immunology and Cell Therapies, Department of Experimental Medicine, "Sapienza" University of Rome, Rome, Italy.ORCID 0000-0003-1729-6410
Andrea BotticelliDivision of Oncology, Department of Radiological, Oncological and Pathological Science, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.
Lidia StrigariMedical Physics Unit, "S. Orsola-Malpighi" Hospital, Bologna, Italy.ORCID 0000-0003-4293-2298
Angelina PernazzaDepartment of Radiology, Oncology and Pathology, "Sapienza" University of Rome, Rome, Italy.
Emma RulloDepartment of Radiology, Oncology and Pathology, "Sapienza" University of Rome, Rome, Italy.
Maria Gemma PignataroDepartment of Radiology, Oncology and Pathology, "Sapienza" University of Rome, Rome, Italy.
Alessio UgoliniLaboratory of Tumor Immunology and Cell Therapies, Department of Experimental Medicine, "Sapienza" University of Rome, Rome, Italy.ORCID 0000-0002-5970-9693
Fabio ScirocchiLaboratory of Tumor Immunology and Cell Therapies, Department of Experimental Medicine, "Sapienza" University of Rome, Rome, Italy.ORCID 0000-0002-6408-2055
Francesca Romana Di PietroOncology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
Ernesto RossiMedical Oncology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Alain GelibterDivision of Oncology, Department of Radiological, Oncological and Pathological Science, Policlinico Umberto I, "Sapienza" University of Rome, Rome, Italy.ORCID 0000-0002-7832-5281
Giovanni SchinzariMedical Oncology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Giulia D'AmatiDepartment of Radiology, Oncology and Pathology, "Sapienza" University of Rome, Rome, Italy.ORCID 0000-0002-6959-691X
Aurelia RughettiLaboratory of Tumor Immunology and Cell Therapies, Department of Experimental Medicine, "Sapienza" University of Rome, Rome, Italy.ORCID 0000-0002-1863-8251
Paolo MarchettiOncology Unit, Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-9064-8761
Marianna Nuti *Laboratory of Tumor Immunology and Cell Therapies, Department of Experimental Medicine, "Sapienza" University of Rome, Rome, Italy.ORCID 0000-0003-1809-1003
Chiara Napoletano *Laboratory of Tumor Immunology and Cell Therapies, Department of Experimental Medicine, "Sapienza" University of Rome, Rome, Italy.ORCID 0000-0001-5449-5430
Sapienza University of Rome · ITPoliclinico Umberto I · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera Sant'Andrea · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITMoffitt Cancer Center · USUniversità Cattolica del Sacro Cuore · IT

Funding

AIRC IG 2015 no.17432Department of Experimental Medicine, Sapienza University of RomeSapienza University of Rome RM120172B803DB14
6 · The paper itself

Abstract

purposeCD137 molecule is expressed by activated lymphocytes, and in patients with cancer identifies the tumor-reactive T cells. In solid tumors, high levels of circulating CD137+ T cells are associated with the clinical response and the disease-free status. Here, we examined the role of the CD137+ T cells in the improvement of patients' selection for immunotherapy treatment. EXPERIMENTAL

designPeripheral blood mononuclear cells derived from 109 patients with metastatic cancer (66 patients for the identification cohort and 43 for the validation cohort) were analyzed for the expression of CD3, CD4, CD8, CD137, and PD1 molecules before the beginning of anti-PD1 therapy. Twenty healthy donors were used as control. The soluble form of CD137 (sCD137) was also analyzed. The CD137+ T cell subsets and the sCD137 were correlated with the clinicopathologic characteristics. The distribution of CD137+ T cells was also examined in different tumor settings.

resultsThe percentage of CD137+ T cells was higher in healthy donors and in those patients with a better clinical status (performance status = 0-1, n°metastasis≤2) and these high levels were ascribed to the CD8+CD137+ T cell population. The high frequency of CD137+ and CD8+CD137+ T cells resulted as a prognostic factor of overall survival (OS) and progression-free survival (PFS), respectively, and were confirmed in the validation cohort. High levels of CD3+CD137+PD1+ lymphocytes were associated with a low number of metastasis and longer survival. Instead, the high concentration of the immunosuppressive sCD137 in the serum is associated with a lower PFS and OS. In tumor bed, patients with a complete response showed a high percentage of CD137+ and CD8+ T cells.

conclusionsWe propose the CD137+ T subset as an immune biomarker to define the wellness status of the immune system for successful anticancer immunotherapy.

Indexed as

Leukocytes, MononuclearNeoplasmsCD8-Positive T-LymphocytesHumansImmunotherapyLymphocyte CountTumor Necrosis Factor Receptor Superfamily, Member 9Tumor Necrosis Factor Receptor Superfamily, Member 9

Identifiers

PMID34980602
PMCPMC9377756
OpenAlexW4205376723

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.