Evidence map›Paper›PMID 37548431›Full record

ArticleCancer discovery2023

Dual Immune Checkpoint Blockade Induces Analogous Alterations in the Dysfunctional CD8+ T-cell and Activated Treg Compartment.

Anne M van der Leun, Joleen J H Traets, Joris L Vos, Joris B W Elbers, Sanne Patiwael, Xiaohang Qiao, Mercedes Machuca-Ostos, Daniela S Thommen, John B A G Haanen, Ton N M Schumacher and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer discovery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
7.8field-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, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Distinct CD8Cancer cell · 2025
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  7. Review
  8. Article
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  10. Preexisting TCR Clones Drive Major Pathologic Responses in Patients with HNSCC Treated with Dual Immune Checkpoint Inhibitors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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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

11 authors at 2 institutions in 1 country.

Anne M van der Leun *Division of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0003-1718-2093
Joleen J H Traets *Division of Tumor Biology and Immunology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0003-0505-9776
Joris L VosDepartment of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-8318-5455
Joris B W ElbersDepartment of Head and Neck Surgery and Oncology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0003-1537-4139
Sanne PatiwaelDivision of Molecular Oncology and Immunology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0009-0007-1697-5274
Xiaohang QiaoDivision of Tumor Biology and Immunology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-8690-4179
Mercedes Machuca-OstosDivision of Tumor Biology and Immunology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-3321-4940
Daniela S ThommenDivision of Molecular Oncology and Immunology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-7431-2854
John B A G HaanenDivision of Molecular Oncology and Immunology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0001-5884-7704
Ton N M Schumacher *Division of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0003-0517-8804
Charlotte L Zuur *Division of Tumor Biology and Immunology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-1777-012X
Oncode Institute · NLLeiden University Medical Center · NL

Funding

Bristol-Myers Squibb (BMS) CA209-703Jeantet PrizeRiki StichtingStevin Award
6 · The paper itself

Abstract

To dissect the effect of neoadjuvant PD-1 and CTLA4 blockade on intratumoral T cells in treatment-naive head and neck squamous cell carcinoma, we analyzed primary tumor immune infiltrates from responding and nonresponding patients. At baseline, a higher ratio between active (4-1BB/OX40+) and inactive regulatory CD4+ T cells was associated with immunotherapy response. Furthermore, upon therapy, this active regulatory T-cell (Treg) population showed a profound decrease in responding patients. In an analogous process, intratumoral dysfunctional CD8+ T cells displayed decreased expression of activity and dysfunction-related genes in responding patients, whereas in clinical nonresponders, natural killer cells showed an increased cytotoxic profile early upon treatment. These data reveal immunologic changes in response to dual PD-1/CTLA4 blockade, including a parallel remodeling of presumed tumor-reactive Treg and CD8+ T-cell compartments in responding patients, and indicate that the presence of activated Tregs at baseline may be associated with response. SIGNIFICANCE: In head and neck squamous cell carcinoma, neoadjuvant PD-1/CTLA4 blockade has shown substantial response rates (20%-35%). As recognition of tumor antigens by T cells appears to be a critical driver of therapy response, a better understanding of alterations in T-cell state that are associated with response and resistance is of importance. This article is featured in Selected Articles from This Issue, p. 2109.

Indexed as

CD8-Positive T-LymphocytesHead and Neck NeoplasmsImmune Checkpoint InhibitorsSquamous Cell Carcinoma of Head and NeckT-Lymphocytes, RegulatoryCTLA-4 AntigenFemaleHumansMaleMiddle AgedProgrammed Cell Death 1 ReceptorCTLA-4 AntigenCTLA4 protein, humanImmune Checkpoint InhibitorsProgrammed Cell Death 1 Receptor

Identifiers

PMID37548431
PMCPMC10551666
OpenAlexW4385620691

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.