Evidence map›Paper›PMID 35672305›Full record

ArticleNature communications2022

Regulatory B cell repertoire defects predispose lung cancer patients to immune-related toxicity following checkpoint blockade.

Akshay J Patel, Zena N Willsmore, Naeem Khan, Alex Richter, Babu Naidu, Mark T Drayson, Sophie Papa, Andrew Cope, Sophia N Karagiannis, Esperanza Perucha and 1 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 77 citations in OpenAlex.

  1. Review
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  3. B cells in cancer: functions, mechanisms and therapeutic advances.Signal transduction and targeted therapy · 2026
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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

11 authors at 3 institutions in 1 country.

Akshay J PatelInstitute of Immunology and Immunotherapy (III), College of Medical and Dental Sciences, University of Birmingham, Birmingham, B15 2TT, UK.ORCID 0000-0001-9170-8618
Zena N WillsmoreSt. John's Institute of Dermatology, School of Basic & Medical Biosciences, King's College London, Guy's Hospital, King's College London, London, SE1 9RT, UK.
Naeem KhanInstitute of Immunology and Immunotherapy (III), College of Medical and Dental Sciences, University of Birmingham, Birmingham, B15 2TT, UK.
Alex RichterInstitute of Immunology and Immunotherapy (III), College of Medical and Dental Sciences, University of Birmingham, Birmingham, B15 2TT, UK.
Babu NaiduInstitute of Inflammation and Ageing (IIA), College of Medical Sciences, University of Birmingham, Birmingham, B15 2TT, UK.
Mark T DraysonInstitute of Immunology and Immunotherapy (III), College of Medical and Dental Sciences, University of Birmingham, Birmingham, B15 2TT, UK.ORCID 0000-0002-1528-7564
Sophie PapaImmunoengineering Group, King's College London, London, SE1 9RT, UK.ORCID 0000-0002-9063-7675
Andrew CopeCentre for Inflammation Biology and Cancer Immunology, School of Immunology and Microbial Sciences, King's College London, London, SE1 1UL, UK.ORCID 0000-0003-0470-1827
Sophia N KaragiannisSt. John's Institute of Dermatology, School of Basic & Medical Biosciences, King's College London, Guy's Hospital, King's College London, London, SE1 9RT, UK.ORCID 0000-0002-4100-7810
Esperanza PeruchaCentre for Inflammation Biology and Cancer Immunology, School of Immunology and Microbial Sciences, King's College London, London, SE1 1UL, UK.ORCID 0000-0002-7802-0875
Gary W MiddletonInstitute of Immunology and Immunotherapy (III), College of Medical and Dental Sciences, University of Birmingham, Birmingham, B15 2TT, UK. g.middleton@bham.ac.uk.ORCID 0000-0001-5695-3474
University of Birmingham · GBKing's College London · GBGuy's Hospital · GB

Funding

Cancer Research UK C10355/A15587Cancer Research UK C604/A25135Cancer Research UK RCPV21604Department of Health IS-BRC-1215-20006Medical Research Council MR/L023091/1
6 · The paper itself

Abstract

Checkpoint blockade with Pembrolizumab, has demonstrated durable clinical responses in advanced non-small cell lung cancer, however, treatment is offset by the development of high-grade immune related adverse events (irAEs) in some patients. Here, we show that in these patients a deficient Breg checkpoint fails to limit self-reactive T cell enhanced activity and auto-antibody formation enabled by PD-1/PD-L1 blockade, leading to severe auto-inflammatory sequelae. Principally a failure of IL-10 producing regulatory B cells as demonstrated through functional ex vivo assays and deep phenotyping mass cytometric analysis, is a major and significant finding in patients who develop high-grade irAEs when undergoing treatment with anti-PD1/PD-L1 checkpoint blockade. There is currently a lack of biomarkers to identify a priori those patients at greatest risk of developing severe auto-inflammatory syndrome. Pre-therapy B cell profiling could provide an important tool to identify lung cancer patients at high risk of developing severe irAEs on checkpoint blockade.

Indexed as

B-Lymphocytes, RegulatoryCarcinoma, Non-Small-Cell LungLung NeoplasmsB7-H1 AntigenHumansProgrammed Cell Death 1 ReceptorB7-H1 AntigenProgrammed Cell Death 1 Receptor

Identifiers

PMID35672305
PMCPMC9174492
OpenAlexW4281986589

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.