Evidence map›Paper›PMID 36794673›Full record

ArticleCancer medicine2023

Monocyte chemoattractant protein 1 as a potential biomarker for immune checkpoint inhibitor-associated neurotoxicity.

Nora Möhn, Susann Mahjoub, Laura Duzzi, Emily Narten, Lea Grote-Levi, Gudrun Körner, Tabea Seeliger, Gernot Beutel, Benjamin-Alexander Bollmann, Thomas Wirth and 7 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Serum cytokines and creatinine/cystatin C ratio as prognostic biomarkers in advanced cancer patients treated with anti-PD-1/PD-L1 therapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. 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

17 authors at 2 institutions in 1 country.

Nora MöhnDepartment of Neurology, Hannover Medical School, Hannover, Germany.ORCID 0000-0002-9102-124X
Susann MahjoubDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Laura DuzziDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Emily NartenDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Lea Grote-LeviDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Gudrun KörnerDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Tabea SeeligerDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Gernot BeutelDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Benjamin-Alexander BollmannDepartment of Pneumology, Hannover Medical School, Hannover, Germany.
Thomas WirthDepartment of Gastroenterology, Hannover Medical School, Hannover, Germany.
André HussDepartment of Neurology, University Hospital Ulm, Ulm, Germany.
Hayrettin TumaniDepartment of Neurology, University Hospital Ulm, Ulm, Germany.
Imke GrimmelmannSkin-Cancer-Center, Hannover Medical School, Hannover, Germany.
Ralf GutzmerSkin-Cancer-Center, Hannover Medical School, Hannover, Germany.
Philipp IvanyiDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Thomas SkripuletzDepartment of Neurology, Hannover Medical School, Hannover, Germany.
ICOG-CCCH (Immune Cooperative Oncology Group; Comprehensive Cancer Center Hannover)
Medizinische Hochschule Hannover · DEUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOncological patients can benefit substantially from treatment with immune checkpoint inhibitors (ICI). However, there is a growing awareness of immune-related adverse events (irAE). Especially ICI-mediated neurological adverse events (nAE(+)), are tough to diagnose and biomarkers to identify patients at risk are missing.

methodsA prospective register with prespecified examinations was established for ICI treated patients in December 2019. At the time of data cut-off, 110 patients were enrolled and completed the clinical protocol. Herein, cytokines and serum neurofilament light chain (sNFL) from 21 patients were analyzed.

resultsnAE of any grade were observed in 31% of the patients (n = 34/110). In nAE(+) patients a significant increase in sNFL concentrations over time was observed. Patients with higher-grade nAE had significantly elevated serum-concentrations of monocyte chemoattractant protein 1 (MCP-1) and brain-derived neurotrophic factor (BDNF) at baseline compared to individuals without any nAE (p < 0.01 and p < 0.05).

conclusionHere, we identified nAE to occur more frequently than previously reported. Increase of sNFL during nAE confirms the clinical diagnosis of neurotoxicity and might be a suitable marker for neuronal damage associated with ICI therapy. Furthermore, MCP-1 and BDNF are potentially the first clinical-class nAE predictors for patients under ICI therapy.

Indexed as

Brain-Derived Neurotrophic FactorImmune Checkpoint InhibitorsBiomarkersChemokine CCL2CytokinesHumansBiomarkersBrain-Derived Neurotrophic FactorChemokine CCL2CytokinesImmune Checkpoint Inhibitorsbiomarkerimmune-related adverse eventsimmunotherapyneurotoxicityserum neurofilament light chains

Identifiers

PMID36794673
PMCPMC10166892
OpenAlexW4321004122

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.