Evidence map›Paper›PMID 36700403›Full record

ArticleHaematologica2023

Differential inhibition of T-cell receptor and STAT5 signaling pathways determines the immunomodulatory effects of dasatinib in chronic phase chronic myeloid leukemia.

Patrick Harrington, Richard Dillon, Deepti Radia, Philippe Rousselot, Donal P McLornan, Mark Ong, Anna Green, Alessandro Verde, Farzana Hussain, Kavita Raj and 3 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
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  3. Review
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  5. Observational
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  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. CD8Frontiers in immunology · 2024
    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

13 authors at 4 institutions in 2 countries.

Patrick HarringtonDepartment of Haematology, Guy's International Centre of Excellence in Myeloid Disorders, Guy's and St Thomas NHS Foundation Trust, London, UK; School of Cancer and Pharmaceutical Sciences, King's College London.
Richard DillonDepartment of Haematology, Guy's International Centre of Excellence in Myeloid Disorders, Guy's and St Thomas NHS Foundation Trust, London, UK; Medical and Molecular Genetics, King's College London.
Deepti RadiaDepartment of Haematology, Guy's International Centre of Excellence in Myeloid Disorders, Guy's and St Thomas NHS Foundation Trust.
Philippe RousselotService d'Hematologie, Centre Hospitalier de Versailles, Université de Versailles Paris-Saclay, UMR1184, CEA.
Donal P McLornanDepartment of Haematology, Guy's International Centre of Excellence in Myeloid Disorders, Guy's and St Thomas NHS Foundation Trust, London, UK; School of Cancer and Pharmaceutical Sciences, King's College London.
Mark OngDepartment of Cellular Pathology, Guy's and St Thomas' NHS Foundation Trust.
Anna GreenDepartment of Cellular Pathology, Guy's and St Thomas' NHS Foundation Trust.
Alessandro VerdeIntegrated Toxicology Laboratory, Synnovis, King's College Hospital NHS Foundation Trust.
Farzana HussainIntegrated Toxicology Laboratory, Synnovis, King's College Hospital NHS Foundation Trust.
Kavita RajDepartment of Haematology, Guy's International Centre of Excellence in Myeloid Disorders, Guy's and St Thomas NHS Foundation Trust.
Shahram KordastiDepartment of Haematology, Guy's International Centre of Excellence in Myeloid Disorders, Guy's and St Thomas NHS Foundation Trust, London, UK; School of Cancer and Pharmaceutical Sciences, King's College London.
Claire HarrisonDepartment of Haematology, Guy's International Centre of Excellence in Myeloid Disorders, Guy's and St Thomas NHS Foundation Trust, London, UK; School of Cancer and Pharmaceutical Sciences, King's College London.
Hugues De LavalladeDepartment of Haematology, Guy's International Centre of Excellence in Myeloid Disorders, Guy's and St Thomas NHS Foundation Trust, London, UK; School of Cancer and Pharmaceutical Sciences, King's College London. h.delavallade@nhs.net.
Guy's and St Thomas' NHS Foundation Trust · GBKing's College London · GBKing's College Hospital NHS Foundation Trust · GBCentre Hospitalier de Versailles · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dasatinib is a multi-kinase inhibitor with activity against the SRC kinase LCK, which plays a critical role in T-cell receptor signaling. Dasatinib, initially developed as an immunosuppressive agent, is by contrast, also noted to result in enhanced tumor immunity in a subset of patients. We studied the impact of dasatinib in chronic myeloid leukemia patients and compared it with patients taking other tyrosine kinase inhibitors (TKI) and healthy controls. We found that patients on dasatinib showed inhibition of both T-cell receptor (TCR) and STAT5 signaling pathways, and reduced expression of Teffector pro-inflammatory cytokines. In addition, dasatinib induced selective depletion of regulatory T cells (Tregs) and effector Tregs, particularly in patients with clonal expansion of effector CD8+ T cells, who demonstrated greater and preferential inhibition of Treg TCR intracellular signaling. In addition, we show that dasatinib selectively reduces Treg STAT5 phosphorylation via reduction of IL-2, in relation with the marked reduction of plasma IL-2 levels in patients taking dasatinib. Finally, patients on other TKI had significantly increased TCR signaling in TIM3+ cells compared to patients taking dasatinib, suggesting that chronic SRC kinase inhibition by dasatinib may play a role in preventing TIM-3-mediated T-cell exhaustion and preserve anti-tumor immunity. These data provide further insight into the selective immunomodulatory effects of dasatinib and its potential use for pharmacologic control of immunotherapies.

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukemia, Myeloid, Chronic-PhaseDasatinibHumansInterleukin-2Protein Kinase InhibitorsPyrimidinesReceptors, Antigen, T-CellSignal Transductionsrc-Family KinasesSTAT5 Transcription FactorThiazolesDasatinibInterleukin-2Protein Kinase InhibitorsPyrimidinesReceptors, Antigen, T-Cellsrc-Family KinasesSTAT5 Transcription FactorThiazoles

Identifiers

PMID36700403
PMCPMC10230408
OpenAlexW4318065388

What OpenQuestion holds

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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.