Evidence map›Paper›PMID 36657813›Full record

ArticleJournal for immunotherapy of cancer2023

Soluble and cell-based markers of immune checkpoint inhibitor-associated nephritis.

Meghan E Sise, Qiyu Wang, Harish Seethapathy, Daiana Moreno, Destiny Harden, R Neal Smith, Ivy A Rosales, Robert B Colvin, Sarah Chute, Lynn D Cornell and 10 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed, 39 citations in OpenAlex.

  1. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. High-Grade Immune-Related Adverse Events Resulting from Immune Checkpoint Inhibitor Treatment: Evaluation of Diagnostics and Outcomes in Admitted Patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Ten tips for an onco-nephrology clinic.Clinical kidney journal · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

20 authors at 4 institutions in 1 country.

Meghan E Sise *Department of Medicine, Division of Nephrology, Massachusetts General Hospital, Boston, Massachusetts, USA msise@partners.org.
Qiyu Wang *Department of Medicine, Division of Nephrology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-4959-7437
Harish SeethapathyDepartment of Medicine, Division of Nephrology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Daiana MorenoDepartment of Medicine, Division of Nephrology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Destiny HardenDepartment of Medicine, Division of Nephrology, Massachusetts General Hospital, Boston, Massachusetts, USA.
R Neal SmithDepartment of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ivy A RosalesDepartment of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Robert B ColvinDepartment of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Sarah ChuteDepartment of Medicine, Division of Nephrology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Lynn D CornellDepartment of Pathology, Mayo Clinic, Rochester, Minnesota, USA.
Sandra M HerrmannDepartment of Nephrology & Hypertension, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0002-3700-4537
Riley FaddenDepartment of Medicine, Division of Hematology and Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ryan J SullivanDepartment of Medicine, Division of Hematology and Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-5344-6645
Nancy J YangDepartment of Medicine, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Sara BarmettlerDepartment of Medicine, Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Sophia WellsDepartment of Medicine, Division of Renal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Shruti GuptaDepartment of Medicine, Division of Renal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-5747-2151
Alexandra-Chloe VillaniDepartment of Medicine, Division of Hematology and Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Kerry L ReynoldsDepartment of Medicine, Division of Hematology and Oncology, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-7793-654X
Jocelyn FarmerDivision of Allergy and Inflammation, Beth Israel Lahey Health, Boston, Massachusetts, USA.
Massachusetts General Hospital · USBrigham and Women's Hospital · USMayo Clinic · USLahey Medical Center · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG · 1991 to 2026
$35.3M
Mechanisms driving acute and chronic kidney function decline after immune checkpoint inhibitor therapy for cancerR01DK130839 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Meghan E. Sise · 2022 to 2026
$3.6M
Deciphering the Achilles Heel of Cancer ImmunotherapyDP2CA247831 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI VILLANI, ALEXANDRA-CHLOE · 2019 to 2019
$2.5M
Modeling Risk for Hypogammaglobulinemia, Infections, and Mortality with Chimeric Antigen Receptor (CAR) T-cell TherapyK23AI163350 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI BARMETTLER, SARA · 2021 to 2025
$1.1M
Novel Pathways and Therapeutic Targets for Cisplatin-Associated Acute Kidney InjuryK23DK125672 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI Shruti Gupta · 2022 to 2026
$998k
Hypoxic preconditioning for the improvement of the regenerative capacity of adipose-derived mesenchymal stem cells and its application in chronic kidney disease due to hypertensive nephropathyK08DK118120 · NIDDK · MAYO CLINIC ROCHESTER · PI HERRMANN, SANDRA M · 2018 to 2022
$800k
NCATS NIH HHS UL1 TR002377NCI NIH HHS DP2 CA247831NIAID NIH HHS K23 AI163350NIDDK NIH HHS K08 DK118120NIDDK NIH HHS K23 DK125672NIDDK NIH HHS P30 DK043351NIDDK NIH HHS R01 DK130839
6 · The paper itself

Abstract

backgroundNon-invasive biomarkers of immune checkpoint inhibitor-associated acute tubulointerstitial nephritis (ICI-nephritis) are urgently needed. Because ICIs block immune checkpoint pathways that include cytotoxic T lymphocyte antigen 4 (CTLA4), we hypothesized that biomarkers of immune dysregulationpreviously defined in patients with congenital CTLA4 deficiency, including elevated soluble interleukin-2 receptor alpha (sIL-2R) and flow cytometric cell-based markers of B and T cell dysregulation in peripheral blood may aid the diagnosis of ICI-nephritis.

methodsA retrospective cohort of patients diagnosed with ICI-nephritis was compared with three prospectively enrolled control cohorts: ICI-treated controls without immune-related adverse events, patients not on ICIs with hemodynamic acute kidney injury (hemodynamic AKI), and patients not on ICIs with biopsy proven acute interstitial nephritis from other causes (non-ICI-nephritis). sIL-2R level and flow cytometric parameters were compared between groups using Wilcoxon rank sum test or Kruskal-Wallis test. Receiver operating characteristic curves were generated to define the accuracy of sIL-2R and flow cytometric biomarkers in diagnosing ICI-nephritis. The downstream impact of T cell activation in the affected kidney was investigated using archived biopsy samples to evaluate the gene expression of

resultssIL-2R level in peripheral blood was significantly higher in patients with ICI-nephritis (N=24) (median 2.5-fold upper limit of normal (ULN), IQR 1.9-3.3), compared with ICI-treated controls (N=10) (median 0.8-fold ULN, IQR 0.5-0.9, p<0.001) and hemodynamic AKI controls (N=6) (median 0.9-fold-ULN, IQR 0.7-1.1, p=0.008). A sIL-2R cut-off point of 1.75-fold ULN was highly diagnostic of ICI-nephritis (area under the curve >96%) when compared with either ICI-treated or hemodynamic AKI controls. By peripheral blood flow cytometry analysis, lower absolute CD8+T cells, CD45RA+CD8+ T cells, memory CD27+B cells, and expansion of plasmablasts were prominent features of ICI-nephritis compared with ICI-treated controls. Gene expressions for

conclusionElevated sIL-2R level and flow cytometric markers of both B and T cell dysregulation may aid the diagnosis of ICI-nephritis.

Indexed as

Acute Kidney InjuryImmune Checkpoint InhibitorsNephritis, InterstitialBiomarkersCTLA-4 AntigenHumansInterleukin-2Receptors, Antigen, T-CellRetrospective StudiesBiomarkersCTLA-4 AntigenImmune Checkpoint InhibitorsInterleukin-2Receptors, Antigen, T-CellB-lymphocytesimmunityimmunotherapyT-lymphocytes

Identifiers

PMID36657813
PMCPMC9853261
OpenAlexW4317500246

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.