Evidence map›Paper›PMID 39089739›Full record

ArticleJournal for immunotherapy of cancer2024

Prophylactic IL-23 blockade uncouples efficacy and toxicity in dual CTLA-4 and PD-1 immunotherapy.

Mingyi Ju, Jiaojiao Zhang, Zhuoyuan Deng, Minjie Wei, Lianghua Ma, Ting Chen, Lin Zhao

Abstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Pooled it
  2. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
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  4. Journal of agricultural and food chemistry · 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

7 authors.

Mingyi JuDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, China.ORCID http://orcid.org/0000-0002-4084-3358
Jiaojiao ZhangDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, China.
Zhuoyuan DengDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, China.
Minjie WeiDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, China.
Lianghua MaDepartment of Radiation Oncology, The First Affiliated Hospital of China Medical University, Shenyang, China lzhao@cmu.edu.cn chenting88726@163.com sy_mlh@qq.com.ORCID http://orcid.org/0000-0003-0116-0869
Ting ChenDepartment of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, China lzhao@cmu.edu.cn chenting88726@163.com sy_mlh@qq.com.
Lin ZhaoDepartment of Pharmacology, School of Pharmacy, China Medical University, Shenyang, China lzhao@cmu.edu.cn chenting88726@163.com sy_mlh@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune-related adverse events (irAEs), characterized by targeted inflammation, occur in up to 60% of patients with melanoma treated with immune checkpoint inhibitors (ICIs). Evidence proved that the baseline peripheral blood profiles of patients at risk for severe irAEs development paralleled clinical autoimmunity. Interleukin (IL)-23 blockade with risankizumab is recommended for cases that are suffering from autoimmune disease, such as autoimmune colitis. However, currently, the role of IL-23 in irAEs onset and severity remains poorly understood.

methodsThe pro-inflammatory cytokines most associated with severe irAEs onset were identified by retrospective analysis based on GSE186143 data set. To investigate the efficacy of prophylactic IL-23 blockade administration to prevent irAEs, refer to a previous study, we constructed two irAEs murine models, including dextran sulfate sodium salt (DSS)-induced colitis murine model and a combined-ICIs-induced irAEs murine model. To further explore the applicability of our findings, murine models with graft-versus-host disease were established, in which Rag2

resultsHere we show that IL-23 was upregulated in the serum of patients suffering from irAEs after dual anti-CTLA-4 and anti-PD-1 treatment, and increased as a function of irAEs severity. Additionally, Augmented CD4

conclusionsOur study not only provides clinically feasible strategies to dissociate efficacy and toxicity in the use of combined ICIs for cancer immunotherapy, but also develops a blood-based biomarker that makes it possible to achieve a straightforward and non-invasive, detection assay for early prediction of irAEs onset.

Indexed as

CTLA-4 AntigenInterleukin-23AnimalsColitisDisease Models, AnimalFemaleHumansImmune Checkpoint InhibitorsImmunotherapyMaleMelanomaMiceProgrammed Cell Death 1 ReceptorRetrospective StudiesCTLA-4 AntigenCTLA4 protein, humanImmune Checkpoint InhibitorsInterleukin-23Programmed Cell Death 1 ReceptorAutoimmuneBiomarkerCytokineImmune Checkpoint InhibitorImmune related adverse event - irAE

Identifiers

PMID39089739
PMCPMC11293404

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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.