Evidence map›Paper›PMID 35028606›Full record

ArticleCell reports. Medicine2021

The immunotoxicity, but not anti-tumor efficacy, of anti-CD40 and anti-CD137 immunotherapies is dependent on the gut microbiota.

Stephen J Blake, Jane James, Feargal J Ryan, Jose Caparros-Martin, Georgina L Eden, Yee C Tee, John R Salamon, Saoirse C Benson, Damon J Tumes, Anastasia Sribnaia and 8 more

Abstract read
In one paragraph

Article in Cell reports. Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

32 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Gut microbiota shapes cancer immunotherapy responses.NPJ biofilms and microbiomes · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Stephen J BlakePrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
Jane JamesPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
Feargal J RyanPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
Jose Caparros-MartinSchool of Pharmacy and Biomedical Sciences, Curtin University, Perth, WA, Australia.
Georgina L EdenPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
Yee C TeePrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
John R SalamonPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
Saoirse C BensonPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
Damon J TumesPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
Anastasia SribnaiaPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
Natalie E StevensPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
John W FinnieAdelaide Medical School, University of Adelaide and SA Pathology, Adelaide, SA 5000, Australia.
Hiroki KobayashiPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
Deborah L WhitePrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
Steve L WesselinghPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
Fergal O'GaraCurtin Health Innovation Research Institute, Curtin University, Perth, WA, Australia.
Miriam A LynnPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.
David J LynnPrecision Medicine Theme, South Australian Health and Medical Research Institute, Adelaide, SA 5000, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune agonist antibodies (IAAs) are promising immunotherapies that target co-stimulatory receptors to induce potent anti-tumor immune responses, particularly when combined with checkpoint inhibitors. Unfortunately, their clinical translation is hampered by serious dose-limiting, immune-mediated toxicities, including high-grade and sometimes fatal liver damage, cytokine release syndrome (CRS), and colitis. We show that the immunotoxicity, induced by the IAAs anti-CD40 and anti-CD137, is dependent on the gut microbiota. Germ-free or antibiotic-treated mice have significantly reduced colitis, CRS, and liver damage following IAA treatment compared with conventional mice or germ-free mice recolonized via fecal microbiota transplant. MyD88 signaling is required for IAA-induced CRS and for anti-CD137-induced, but not anti-CD40-induced, liver damage. Importantly, antibiotic treatment does not impair IAA anti-tumor efficacy, alone or in combination with anti-PD1. Our results suggest that microbiota-targeted therapies could overcome the toxicity induced by IAAs without impairing their anti-tumor activity.

Indexed as

Gastrointestinal MicrobiomeAnimalsAnti-Bacterial AgentsAntineoplastic AgentsBile Acids and SaltsCD40 AntigensCytokine Release SyndromeFecal Microbiota TransplantationGerm-Free LifeImmunotherapyInflammationInterferon Type ILipid MetabolismLiverMiceMice, Inbred C57BLAnti-Bacterial AgentsAntineoplastic AgentsBile Acids and SaltsCD40 AntigensInterferon Type IMyeloid Differentiation Factor 88Tumor Necrosis Factor-alphaTumor Necrosis Factor Receptor Superfamily, Member 9anti-CD137anti-CD40cytokine release syndromegut microbiotaimmune agonist antibodyimmunotherapyliver damage

Identifiers

PMID35028606
PMCPMC8714857

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.