Evidence map›Paper›PMID 38279046›Full record

ReviewNature reviews. Cardiology2024

Immune checkpoints in cardiac physiology and pathology: therapeutic targets for heart failure.

Tamás G Gergely, Zsófia D Drobni, Marinos Kallikourdis, Han Zhu, Wouter C Meijers, Tomas G Neilan, Tienush Rassaf, Péter Ferdinandy, Zoltán V Varga

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
10.5field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. PD-1/PD-L1 Signaling in Non-ICI Myocarditis.JACC. Basic to translational science · 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

9 authors at 6 institutions in 5 countries.

Tamás G GergelyDepartment of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary.
Zsófia D DrobniHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Marinos KallikourdisDepartment of Biomedical Sciences, Humanitas University, Milan, Italy.
Han ZhuDivision of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.ORCID 0000-0002-2751-7814
Wouter C MeijersErasmus MC, Cardiovascular Institute, Thorax Center, Department of Cardiology, Rotterdam, The Netherlands.
Tomas G NeilanDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0003-4356-8176
Tienush RassafDepartment of Cardiology and Vascular Medicine, West German Heart and Vascular Center Essen, Medical Faculty, University Hospital Essen, Essen, Germany.
Péter FerdinandyDepartment of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary.
Zoltán V VargaDepartment of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary. varga.zoltan@semmelweis.hu.ORCID 0000-0002-2758-0784
Semmelweis University · HUErasmus MC Cancer Institute · NLHumanitas University · ITMassachusetts General Hospital · USStanford University · USWest German Heart and Vascular Center Essen · DE

Funding

Mechanisms of Cardiac Dysfunction in HIV and the Effect of StatinsR01HL137562 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEILAN, TOMAS G, ZANNI, MARKELLA V. · 2017 to 2020
$2.7M
Cardiovascular Diseases among Patients with Cancer and Patients living with HIVK24HL150238 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Tomas G Neilan · 2020 to 2026
$883k
NHLBI NIH HHS K24 HL150238NHLBI NIH HHS R01 HL137562
6 · The paper itself

Abstract

Immune checkpoint molecules are physiological regulators of the adaptive immune response. Immune checkpoint inhibitors (ICIs), such as monoclonal antibodies targeting programmed cell death protein 1 or cytotoxic T lymphocyte-associated protein 4, have revolutionized cancer treatment and their clinical use is increasing. However, ICIs can cause various immune-related adverse events, including acute and chronic cardiotoxicity. Of these cardiovascular complications, ICI-induced acute fulminant myocarditis is the most studied, although emerging clinical and preclinical data are uncovering the importance of other ICI-related chronic cardiovascular complications, such as accelerated atherosclerosis and non-myocarditis-related heart failure. These complications could be more difficult to diagnose, given that they might only be present alongside other comorbidities. The occurrence of these complications suggests a potential role of immune checkpoint molecules in maintaining cardiovascular homeostasis, and disruption of physiological immune checkpoint signalling might thus lead to cardiac pathologies, including heart failure. Although inflammation is a long-known contributor to the development of heart failure, the therapeutic targeting of pro-inflammatory pathways has not been successful thus far. The increasingly recognized role of immune checkpoint molecules in the failing heart highlights their potential use as immunotherapeutic targets for heart failure. In this Review, we summarize the available data on ICI-induced cardiac dysfunction and heart failure, and discuss how immune checkpoint signalling is altered in the failing heart. Furthermore, we describe how pharmacological targeting of immune checkpoints could be used to treat heart failure.

Indexed as

Heart FailureImmune Checkpoint InhibitorsAnimalsCardiotoxicityHumansSignal TransductionImmune Checkpoint Inhibitors

Identifiers

PMID38279046
OpenAlexW4391263049

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.