Evidence map›Paper›PMID 40258833›Full record

ArticleNature communications2025

Age-related divergence of circulating immune responses in patients with solid tumors treated with immune checkpoint inhibitors.

Chester Kao, Soren Charmsaz, Hua-Ling Tsai, Khaled Aziz, Daniel H Shu, Kabeer Munjal, Ervin Griffin, James M Leatherman, Evan J Lipson, Yasser Ged and 20 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. 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

30 authors.

Chester Kao *Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Soren Charmsaz *Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-9148-9870
Hua-Ling Tsai *Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0001-8388-6297
Khaled AzizDepartment of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Daniel H ShuDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Kabeer MunjalDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Ervin GriffinDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
James M LeathermanDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Evan J LipsonDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0003-2976-0911
Yasser GedDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jeannie Hoffman-CensitsDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Howard L LiDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0003-2223-5444
Elsa HallabDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Madelena BrancatiDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Mari NakazawaDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0001-6055-8960
Stephanie AldenDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Christopher ThoburnDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0001-7743-9183
Nicole E GrossDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-8936-207X
Alexei G HernandezDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Erin M CoyneDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-0393-6600
Emma KartaliaDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Marina BarettiDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Elizabeth M JaffeeDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0000-0003-3841-6549
Sanjay BansalGenentech Inc, South San Francisco, California, USA.
Laura TangGenentech Inc, South San Francisco, California, USA.
G Scott ChandlerF. Hoffmann-La Roche Ltd, Basel, Switzerland.ORCID http://orcid.org/0000-0001-5339-9906
Rajat MohindraF. Hoffmann-La Roche Ltd, Basel, Switzerland.
Won Jin HoDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. wjho@jhmi.edu.ORCID http://orcid.org/0000-0003-2644-5086
Mark YarchoanDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. mark.yarchoan@jhmi.edu.ORCID http://orcid.org/0000-0003-4401-0748
Daniel J ZabranskyDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA. dzabran1@jhmi.edu.ORCID http://orcid.org/0000-0002-8184-3346

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI ALAN KEITH MEEKER · 1985 to 2026
$208.6M
Tumor Antigens for Individual Signatures and TherapyP50CA062924 · NCI · JOHNS HOPKINS UNIVERSITY · PI THOMPSON, ELIZABETH D · 1993 to 2022
$54.6M
Transforming Human Pancreatic Cancer Into An Immunologic DiseaseP01CA247886 · NCI · JOHNS HOPKINS UNIVERSITY · PI ANDERS, ROBERT A. · 2021 to 2025
$12.7M
Project 3: Inhibiting Oxidative Phosphorylation in Pancreatic CancerP50CA221707 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KOPETZ, SCOTT · 2019 to 2023
$11.0M
Targeting the Immunosuppressive Tumor Microenvironment of Pancreatic Cancer with a Neoadjuvant Platform Clinical TrialR01CA197296 · NCI · JOHNS HOPKINS UNIVERSITY · PI William Reece Burns, Eric Christenson · 2015 to 2026
$5.7M
Targeting HMGA1 Tumor-Stromal Networks in Pancreatic CarcinogenesisR01CA293602 · NCI · JOHNS HOPKINS UNIVERSITY · PI ELIZABETH M. JAFFEE, Linda M S Resar · 2024 to 2026
$2.1M
Mass Cytometer CyTOF XT for Single-Cell BiologyS10OD034407 · OD · JOHNS HOPKINS UNIVERSITY · PI HO, WON JIN · 2024 to 2024
$499k
Immunophenotype Integration for Monitoring T Cell Dynamics in Pancreatic CancersR21CA264004 · NCI · JOHNS HOPKINS UNIVERSITY · PI HO, WON JIN · 2021 to 2021
$421k
NCI NIH HHS P01 CA247886NCI NIH HHS P30 CA006973NCI NIH HHS P50 CA062924NCI NIH HHS P50 CA221707NCI NIH HHS R01 CA197296NCI NIH HHS R01 CA293602NCI NIH HHS R21 CA264004NIH HHS S10 OD034407U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P50CA221707
6 · The paper itself

Abstract

Most new cancer diagnoses occur in patients over the age of 65. The composition and function of the immune system changes with age, but how the aged immune system affects responses to immune checkpoint inhibitor (ICI) cancer therapies remains incompletely understood. Here, using multiplex cytokine assay and high-parameter mass cytometry, we analyze prospectively collected blood samples from 104 cancer patients receiving ICIs. We find aged patients ( ≥ 65-years-old; n = 54) derive similar clinical outcomes as younger patients (n = 50). However, aged, compared to young, patients have divergent immune phenotypes at baseline that persist during ICI therapy, including diminished cytokine responses, reduced pools of naïve T cells with increased relative expression of immune checkpoint molecules, and more robust effector T cell expansion in responders compared to non-responders. Our study provides insights into age-stratified mechanisms of ICI effects while also implying the utility of age-tailored immunotherapeutic approaches.

Indexed as

Immune Checkpoint InhibitorsNeoplasmsAdultAgedAged, 80 and overAge FactorsCytokinesFemaleHumansImmunotherapyMaleMiddle AgedProspective StudiesT-LymphocytesCytokinesImmune Checkpoint Inhibitors

Identifiers

PMID40258833
PMCPMC12012091

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.