Evidence map›Paper›PMID 36776862›Full record

ReviewFrontiers in immunology2023

Immune-related adverse events in checkpoint blockade: Observations from human tissue and therapeutic considerations.

Kristian C Williams, Abigail Gault, Amy E Anderson, Christopher J Stewart, Christopher A Lamb, R Ally Speight, Neil Rajan, Ruth Plummer, Arthur G Pratt

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Vitiligo-like depigmentation as an accessible readout of antitumour immunity in melanoma immunotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Observational
  11. IsCancers · 2024
    Review
  12. Article
  13. Enhancing cancer immunotherapy via inhibition of soluble epoxide hydrolase.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  14. Article
  15. Article
  16. Checkpoint Inhibitor-Induced Colitis: From Pathogenesis to Management.International journal of molecular sciences · 2023
    Review
  17. Article
  18. Article
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

9 authors at 2 institutions in 1 country.

Kristian C WilliamsTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Abigail GaultTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Amy E AndersonTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Christopher J StewartTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Christopher A LambTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
R Ally SpeightTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Neil RajanTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Ruth PlummerTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Arthur G PrattTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Newcastle upon Tyne Hospitals NHS Foundation Trust · GBNewcastle University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Checkpoint inhibitors (CPIs) are monoclonal antibodies which, by disrupting interactions of immune checkpoint molecules with their ligands, block regulatory immune signals otherwise exploited by cancers. Despite revolutionary clinical benefits, CPI use is associated with an array of immune-related adverse events (irAEs) that mirror spontaneous autoreactivity. Severe irAEs necessitate pausing or stopping of CPI therapy and use of corticosteroids and/or other immunomodulatory interventions. Despite increasingly widespread CPI use, irAE pathobiology remains poorly understood; its elucidation may point to targeted mitigation strategies and uncover predictive biomarkers for irAE onset in patients, whilst casting new light on mechanisms of spontaneous immune-mediated disease. This review focuses on common CPI-induced irAEs of the gut, skin and synovial joints, and how these compare to immune-mediated diseases such as ulcerative colitis, vitiligo and inflammatory arthritis. We review current understanding of the immunological changes reported following CPI therapy at the level of peripheral blood and tissue. Many studies highlight dysregulation of cytokines in irAE-affected tissue, particularly IFNγ and TNF. IrAE-affected tissues are also predominantly infiltrated by T-cells, with low B-cell infiltration. Whilst there is variability between studies, patients treated with anti-programmed cell death-1 (PD-1)/PDL-1 therapies seem to exhibit CD8+ T-cell dominance, with CD4+ T-cells dominating in those treated with anti-cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) monotherapy. Interestingly, CD8+CXCR3+ T-cells have been reported to be elevated in gastrointestinal, dermatological and musculoskeletal -irAE affected tissues. These findings may highlight potential opportunities for therapeutic development or re-deployment of existing therapies to prevent and/or improve the outcome of irAEs.

Indexed as

Immune Checkpoint InhibitorsImmune System DiseasesNeoplasmsAntibodies, MonoclonalHumansImmunotherapySkinAntibodies, MonoclonalImmune Checkpoint Inhibitorsautoimmunitycheckpoint inhibitors (CPI)dermatologicalgastrointestinalimmune-related adverse eventsmusculoskeletalpathobiology

Identifiers

PMID36776862
PMCPMC9909476
OpenAlexW4318067205

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.