Evidence map›Paper›PMID 35762356›Full record

ArticleCirculation2022

Identification of Pathogenic Immune Cell Subsets Associated With Checkpoint Inhibitor-Induced Myocarditis.

Han Zhu, Francisco X Galdos, Daniel Lee, Sarah Waliany, Yuhsin Vivian Huang, Julia Ryan, Katherine Dang, Joel W Neal, Heather A Wakelee, Sunil A Reddy and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed
12.7field-weighted citation impact, top 1% 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

133 citing papers in PubMed, 154 citations in OpenAlex.

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  15. CXCR6Circulation · 2026
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73 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 4 countries.

Han ZhuDepartment of Medicine (H.Z., S.W., J.W.N., H.A.W., S.A.R., S.S., R.M.W., P.K.N., S.M.W.), Stanford University, CA.ORCID 0000-0002-2751-7814
Francisco X GaldosStanford Cardiovascular Institute (H.Z., F.X.G., D.L., J.R., R.M.W.' P.K.N., S.M.W.), Stanford University, CA.
Daniel LeeStanford Cardiovascular Institute (H.Z., F.X.G., D.L., J.R., R.M.W.' P.K.N., S.M.W.), Stanford University, CA.
Sarah WalianyDepartment of Medicine (H.Z., S.W., J.W.N., H.A.W., S.A.R., S.S., R.M.W., P.K.N., S.M.W.), Stanford University, CA.ORCID 0000-0001-5960-8801
Yuhsin Vivian HuangCornell University, Ithaca, NY (Y.V.H.).
Julia RyanStanford Cardiovascular Institute (H.Z., F.X.G., D.L., J.R., R.M.W.' P.K.N., S.M.W.), Stanford University, CA.
Katherine DangUniversity of California, Santa Barbara (K.D.).
Joel W NealDepartment of Medicine (H.Z., S.W., J.W.N., H.A.W., S.A.R., S.S., R.M.W., P.K.N., S.M.W.), Stanford University, CA.ORCID 0000-0003-3119-9334
Heather A WakeleeDepartment of Medicine (H.Z., S.W., J.W.N., H.A.W., S.A.R., S.S., R.M.W., P.K.N., S.M.W.), Stanford University, CA.
Sunil A ReddyDepartment of Medicine (H.Z., S.W., J.W.N., H.A.W., S.A.R., S.S., R.M.W., P.K.N., S.M.W.), Stanford University, CA.
Sandy SrinivasDepartment of Medicine (H.Z., S.W., J.W.N., H.A.W., S.A.R., S.S., R.M.W., P.K.N., S.M.W.), Stanford University, CA.
Lih-Ling LinCheckpoint Immunology Cluster, Immunology and Inflammation, Sanofi US, Cambridge, MA (L.-L.L.).
Ronald M WittelesDepartment of Medicine (H.Z., S.W., J.W.N., H.A.W., S.A.R., S.S., R.M.W., P.K.N., S.M.W.), Stanford University, CA.ORCID 0000-0002-3043-1472
Holden T MaeckerDepartment of Microbiology & Immunology (H.T.M., M.M.D.), Stanford University School of Medicine, CA.
Mark M DavisHoward Hughes Medical Institute (M.M.D.), Stanford University, CA.ORCID 0000-0001-6868-657X
Patricia K NguyenDepartment of Medicine (H.Z., S.W., J.W.N., H.A.W., S.A.R., S.S., R.M.W., P.K.N., S.M.W.), Stanford University, CA.ORCID 0000-0001-7170-9787
Sean M WuDepartment of Medicine (H.Z., S.W., J.W.N., H.A.W., S.A.R., S.S., R.M.W., P.K.N., S.M.W.), Stanford University, CA.ORCID 0000-0002-0000-3821
Cardiovascular Institute of the South · USStanford University · USCalifornia Institute for Regenerative Medicine · USCheck Point (Israel) · ILCornell University · USHoward Hughes Medical Institute · USInstitute of Infection and Immunity · CAUniversity of California, Santa Barbara · US

Funding

Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI Vittorio Sebastiano · 2007 to 2026
$71.4M
From proteins to cells to tissues: A multi-scale assessment of biomechanical regulation by the myosin molecular motorRM1GM131981 · NIGMS · STANFORD UNIVERSITY · PI BERNSTEIN, DANIEL, MACK, DAVID LEE · 2019 to 2023
$10.3M
Enabling Technologies for Human-Machine Hybrid TissuesDP1LM012179 · NLM · STANFORD UNIVERSITY · PI WU, SEAN M · 2014 to 2018
$3.8M
Identification of Causal T-Cell Mechanisms in Immune Checkpoint Inhibitor Induced MyocarditisK08HL161405 · NHLBI · STANFORD UNIVERSITY · PI Han Zhu · 2022 to 2026
$880k
Identification of Causal Antigens in Immune Checkpoint Inhibitor-Induced MyocarditisF32HL149188 · NHLBI · STANFORD UNIVERSITY · PI ZHU, HAN · 2019 to 2020
$90k
NCI NIH HHS P30 CA124435NHLBI NIH HHS F32 HL149188NHLBI NIH HHS K08 HL161405NIGMS NIH HHS RM1 GM131981NLM NIH HHS DP1 LM012179
6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICIs) are monoclonal antibodies used to activate the immune system against tumor cells. Despite therapeutic benefits, ICIs have the potential to cause immune-related adverse events such as myocarditis, a rare but serious side effect with up to 50% mortality in affected patients. Histologically, patients with ICI myocarditis have lymphocytic infiltrates in the heart, implicating T cell-mediated mechanisms. However, the precise pathological immune subsets and molecular changes in ICI myocarditis are unknown.

methodsTo identify immune subset(s) associated with ICI myocarditis, we performed time-of-flight mass cytometry on peripheral blood mononuclear cells from 52 individuals: 29 patients with autoimmune adverse events (immune-related adverse events) on ICI, including 8 patients with ICI myocarditis, and 23 healthy control subjects. We also used multiomics single-cell technology to immunophenotype 30 patients/control subjects using single-cell RNA sequencing, single-cell T-cell receptor sequencing, and cellular indexing of transcriptomes and epitopes by sequencing with feature barcoding for surface marker expression confirmation. To correlate between the blood and the heart, we performed single-cell RNA sequencing/T-cell receptor sequencing/cellular indexing of transcriptomes and epitopes by sequencing on MRL/Pdcd1

resultsUsing these complementary approaches, we found an expansion of cytotoxic CD8

conclusionsClonal cytotoxic Temra CD8

Indexed as

Antineoplastic AgentsAntineoplastic Agents, ImmunologicalMyocarditisAnimalsEpitopesHumansLeukocytes, MononuclearLongitudinal StudiesMiceAntineoplastic AgentsAntineoplastic Agents, ImmunologicalEpitopesimmune checkpoint inhibitorsimmunophenotypingimmunotherapymyocarditissingle-cell analysis

Identifiers

PMID35762356
PMCPMC9397491
OpenAlexW4283704197

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.