Evidence map›Paper›PMID 36171010›Full record

Observational studyJournal for immunotherapy of cancer2022

Single-cell transcriptomics identifies pathogenic T-helper 17.1 cells and pro-inflammatory monocytes in immune checkpoint inhibitor-related pneumonitis.

Amelie Franken, Pierre Van Mol, Sam Vanmassenhove, Elena Donders, Rogier Schepers, Thomas Van Brussel, Christophe Dooms, Jonas Yserbyt, Nico De Crem, Dries Testelmans and 7 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal for immunotherapy of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
7.2field-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

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. [Advances in Radiomics for Immune Checkpoint Inhibitor-related Pneumonitis 
of Lung Cancer].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. When Checkpoint Inhibitors Break Barriers: Mechanisms and Challenges of irAEs of the Skin, Gastrointestinal Tract, and Lung.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

3 more citing papers are in PubMed but not listed here.

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

17 authors at 3 institutions in 1 country.

Amelie Franken *VIB - CCB Department of Human Genetics, KU Leuven, Leuven, Flemish Brabant, Belgium.ORCID 0000-0003-4121-4016
Pierre Van Mol *VIB - CCB Department of Human Genetics, KU Leuven, Leuven, Flemish Brabant, Belgium.
Sam VanmassenhoveVIB - CCB Department of Human Genetics, KU Leuven, Leuven, Flemish Brabant, Belgium.
Elena DondersVIB - CCB Department of Human Genetics, KU Leuven, Leuven, Flemish Brabant, Belgium.
Rogier SchepersVIB - CCB Department of Human Genetics, KU Leuven, Leuven, Flemish Brabant, Belgium.
Thomas Van BrusselVIB - CCB Department of Human Genetics, KU Leuven, Leuven, Flemish Brabant, Belgium.
Christophe DoomsPneumology - Respiratory Oncology, Katholieke Universiteit Leuven Universitaire Ziekenhuizen Leuven, Leuven, Flemish Brabant, Belgium.
Jonas YserbytPneumology, Katholieke Universiteit Leuven Universitaire Ziekenhuizen Leuven, Leuven, Flemish Brabant, Belgium.
Nico De CremPneumology, Katholieke Universiteit Leuven Universitaire Ziekenhuizen Leuven, Leuven, Flemish Brabant, Belgium.
Dries TestelmansDepartment of Chronic Diseases and Metabolism, KU Leuven, Leuven, Flemish Brabant, Belgium.
Walter De WeverDepartment of Imaging & Pathology, KU Leuven, Leuven, Flemish Brabant, Belgium.
Kristiaan NackaertsPneumology - Respiratory Oncology, Katholieke Universiteit Leuven Universitaire Ziekenhuizen Leuven, Leuven, Flemish Brabant, Belgium.
Johan VansteenkistePneumology - Respiratory Oncology, Katholieke Universiteit Leuven Universitaire Ziekenhuizen Leuven, Leuven, Flemish Brabant, Belgium.
Robin VosDepartment of Chronic Diseases and Metabolism, KU Leuven, Leuven, Flemish Brabant, Belgium.
Stéphanie Humblet-BaronDepartment of Microbiology, Immunology and Transplantation, KU Leuven, Leuven, Flemish Brabant, Belgium.
Diether Lambrechts *VIB - CCB Department of Human Genetics, KU Leuven, Leuven, Flemish Brabant, Belgium diether.lambrechts@kuleuven.be.
Els Wauters *Pneumology - Respiratory Oncology, Katholieke Universiteit Leuven Universitaire Ziekenhuizen Leuven, Leuven, Flemish Brabant, Belgium.ORCID 0000-0002-0115-0030
Universitair Ziekenhuis Leuven · BEVIB-KU Leuven Center for Cancer Biology · BEKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitor (ICI)-related pneumonitis is the most frequent fatal immune-related adverse event associated with programmed cell death protein-1/programmed death ligand-1 blockade. The pathophysiology however remains largely unknown, owing to limited and contradictory findings in existing literature pointing at either T-helper 1 or T-helper 17-mediated autoimmunity. In this study, we aimed to gain novel insights into the mechanisms of ICI-related pneumonitis, thereby identifying potential therapeutic targets.

methodsIn this prospective observational study, single-cell RNA and T-cell receptor sequencing was performed on bronchoalveolar lavage fluid of 11 patients with ICI-related pneumonitis and 6 demographically-matched patients with cancer without ICI-related pneumonitis. Single-cell transcriptomic immunophenotyping and cell fate mapping coupled to T-cell receptor repertoire analyses were performed.

resultsWe observed enrichment of both CD4+ and CD8+ T cells in ICI-pneumonitis bronchoalveolar lavage fluid. The CD4+ T-cell compartment showed an increase of pathogenic T-helper 17.1 cells, characterized by high co-expression of

conclusionsUsing single-cell transcriptomics, we identified accumulation of pathogenic T-helper 17.1 cells in ICI-pneumonitis bronchoalveolar lavage fluid-a phenotype explaining previous divergent findings on T-helper 1 versus T-helper 17 involvement in ICI-pneumonitis-,putatively engaging in detrimental crosstalk with pro-inflammatory 'M1-like' monocytes. This finding yields several novel potential therapeutic targets for the treatment of ICI-pneumonitis. Most notably repurposing anti-IL-23 merits further research as a potential efficacious and safe treatment for ICI-pneumonitis.

Indexed as

Granulocyte-Macrophage Colony-Stimulating FactorPneumoniaAnti-Inflammatory AgentsApoptosis Regulatory ProteinsHumansImmune Checkpoint InhibitorsInterleukin-17Interleukin-6MonocytesNuclear Receptor Subfamily 1, Group F, Member 3Receptors, Granulocyte-Macrophage Colony-Stimulating FactorRNATranscriptomeAnti-Inflammatory AgentsApoptosis Regulatory ProteinsGranulocyte-Macrophage Colony-Stimulating FactorImmune Checkpoint InhibitorsInterleukin-17Interleukin-6Nuclear Receptor Subfamily 1, Group F, Member 3Receptors, Granulocyte-Macrophage Colony-Stimulating FactorRNAAutoimmunityComputational BiologyImmunotherapyLung NeoplasmsProgrammed Cell Death 1 Receptor

Identifiers

PMID36171010
PMCPMC9528720
OpenAlexW4297497344

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.