Evidence map›Paper›PMID 37905657›Full record

ReviewIn vivo (Athens, Greece)

Immune Checkpoint Inhibitors and Infection: What Is the Interplay?

Michail Papadakis, Ioannis Karniadakis, Nikolaos Mazonakis, Karolina Akinosoglou, Constantinos Tsioutis, Nikolaos Spernovasilis

Abstract readReview
In one paragraph

Review in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Systemic treatment of immune checkpoint inhibitor-induced psoriasis: Inference-based guidance.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Immunoengineering: An Emerging Field in Infectious Diseases.The Journal of infectious diseases · 2025
    Review
  9. The Role of Lactylation in Virus-Host Interactions.International journal of molecular sciences · 2025
    Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. 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

6 authors.

Michail PapadakisThird Department of Internal Medicine and Diabetes Center, Agios Panteleimon General Hospital of Nikaia, Piraeus, Greece.
Ioannis KarniadakisCardiff Transplant Unit, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, U.K.
Nikolaos MazonakisDepartment of Internal Medicine, Thoracic Diseases General Hospital Sotiria, Athens, Greece.
Karolina AkinosoglouDepartment of Internal Medicine and Infectious Diseases, University General Hospital of Patras, Patras, Greece.
Constantinos TsioutisSchool of Medicine, European University Cyprus, Nicosia, Cyprus.
Nikolaos SpernovasilisDepartment of Infectious Diseases, German Oncology Center, Limassol, Cyprus nikspe@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint molecules are receptors expressed on immune cells, especially T-cells, which activate immunosuppressive pathways and lead them to a state known as T-cell exhaustion. Immune checkpoint inhibitors (ICIs) constitute a group of specific antibodies that target these molecules, restoring T-cell effector function. Several ICIs have already been approved by the FDA as therapeutic options for certain malignancies. However, evidence in the literature remains unclear regarding the possible risk of infection in patients receiving this treatment. A thorough examination of existing literature was carried out to investigate whether the use of ICIs increases the likelihood of specific infections and to explore the potential beneficial effects of ICIs on the treatment of infections. Our review found most infectious complications are related to immunosuppressive therapy for immune-related adverse events caused by checkpoint blockade. Current evidence shows that ICIs per se do not seem to generally increase the risk of infection, yet they might increase susceptibility to certain infections, such as tuberculosis. On the other hand, reinvigoration of immune responses triggered by ICIs might play a significant role in pathogen clearance, establishing a possible positive impact of ICIs, especially on chronic infectious diseases, such as HIV infection. Data from preclinical models are limited and larger clinical trials are warranted to shed more light on the effect of immune checkpoint blockade on specific pathogens.

Indexed as

HIV InfectionsNeoplasmsAntibodiesHumansImmune Checkpoint InhibitorsImmunosuppression TherapyImmunosuppressive AgentsAntibodiesImmune Checkpoint InhibitorsImmunosuppressive AgentscomplicationsImmune checkpoint inhibitorsimmune related adverse effectsinfectious diseasesmalignancyopportunistic infectionsT-cell exhaustion

Identifiers

PMID37905657
PMCPMC10621463

What OpenQuestion holds

Textmetadata
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.