Evidence map›Paper›PMID 37207119›Full record

ReviewNeuro-oncology advances

Systemic immune derangements are shared across various CNS pathologies and reflect novel mechanisms of immune privilege.

Selena J Lorrey, Jessica Waibl Polania, Lucas P Wachsmuth, Alexandra Hoyt-Miggelbrink, Zachariah P Tritz, Ryan Edwards, Delaney M Wolf, Aaron J Johnson, Peter E Fecci, Katayoun Ayasoufi

Abstract readReview
In one paragraph

Review in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

  1. Review
  2. Article
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  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
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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

10 authors.

Selena J LorreyDepartment of Immunology, Duke University, Durham, NC, USA.
Jessica Waibl PolaniaBrain Tumor Immunotherapy Program, Duke University, Durham, NC, USA.
Lucas P WachsmuthBrain Tumor Immunotherapy Program, Duke University, Durham, NC, USA.
Alexandra Hoyt-MiggelbrinkBrain Tumor Immunotherapy Program, Duke University, Durham, NC, USA.
Zachariah P TritzDepartment of Immunology, Mayo Clinic, Rochester, MN, USA.
Ryan EdwardsBrain Tumor Immunotherapy Program, Duke University, Durham, NC, USA.
Delaney M WolfDepartment of Immunology, Mayo Clinic, Rochester, MN, USA.
Aaron J JohnsonDepartment of Immunology, Mayo Clinic, Rochester, MN, USA.
Peter E FecciDepartment of Immunology, Duke University, Durham, NC, USA.ORCID https://orcid.org/0000-0002-2912-8695
Katayoun AyasoufiDepartment of Immunology, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-3797-0823

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007171 · NIGMS · DUKE UNIVERSITY · PI KONTOS, CHRISTOPHER D · 1985 to 2021
$31.2M
Targeted Alpha-Particle Radiotheraphy of Brain Tumors with 211At-81C6 AntibodyP50CA190991 · NCI · DUKE UNIVERSITY · PI ALI-OSMAN, FRANCIS, ASHLEY, DAVID M. · 2014 to 2023
$20.8M
Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
CD8 T cell mediated disruption of Blood Brain Barrier Tight JunctionsR01NS103212 · NINDS · MAYO CLINIC ROCHESTER · PI Aaron J Johnson · 2017 to 2026
$4.6M
Basic Immunology Training ProgramT32AI052077 · NIAID · DUKE UNIVERSITY · PI KRANGEL, MICHAEL S · 2002 to 2024
$4.2M
Defining MHC class I restricted antigen presentation to CD8 T cells in experimental AD and Tauopathy - SupplementRF1NS122174 · NINDS · MAYO CLINIC ROCHESTER · PI JOHNSON, AARON J · 2021 to 2023
$2.0M
Research Training Program in Neuro-OncologyT32CA217836 · NCI · MAYO CLINIC ROCHESTER · PI O'NEILL, BRIAN PATRICK, VILE, RICHARD G. · 2018 to 2022
$1.4M
Nervous system control and regulation of the immune system following neurological insultsR00NS117799 · NINDS · DUKE UNIVERSITY · PI AYASOUFI, KATAYOUN · 2023 to 2025
$729k
Nervous system control and regulation of the immune system following neurological insultsK99NS117799 · NINDS · MAYO CLINIC ROCHESTER · PI AYASOUFI, KATAYOUN · 2021 to 2022
$209k
NCI NIH HHS P50 CA190991NCI NIH HHS T32 CA217836NIAID NIH HHS T32 AI052077NIGMS NIH HHS T32 GM007171NIGMS NIH HHS T32 GM145449NINDS NIH HHS K99 NS117799NINDS NIH HHS R00 NS117799NINDS NIH HHS R01 NS103212NINDS NIH HHS RF1 NS122174
6 · The paper itself

Abstract

Background: The nervous and immune systems interact in a reciprocal manner, both under physiologic and pathologic conditions. Literature spanning various CNS pathologies including brain tumors, stroke, traumatic brain injury and de-myelinating diseases describes a number of associated systemic immunologic changes, particularly in the T-cell compartment. These immunologic changes include severe T-cell lymphopenia, lymphoid organ contraction, and T-cell sequestration within the bone marrow. Methods: We performed an in-depth systematic review of the literature and discussed pathologies that involve brain insults and systemic immune derangements. Conclusions: In this review, we propose that the same immunologic changes hereafter termed 'systemic immune derangements', are present across CNS pathologies and may represent a novel, systemic mechanism of immune privilege for the CNS. We further demonstrate that systemic immune derangements are transient when associated with isolated insults such as stroke and TBI but persist in the setting of chronic CNS insults such as brain tumors. Systemic immune derangements have vast implications for informed treatment modalities and outcomes of various neurologic pathologies.

Indexed as

brain injuryglioblastomalymphopeniammunosuppressionT-cells

Identifiers

PMID37207119
PMCPMC10191195

What OpenQuestion holds

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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.