Evidence map›Paper›PMID 40505068›Full record

ArticleBlood advances2025

Bone marrow and blood demonstrate distinct immune reconstitution patterns and correlations with relapse posttransplant.

Susan DeWolf, Jason Kuttiyara, Paola Vinci, Teng Fei, John Slingerland, Zoe Katsamakis, Joshua A Fein, Brianna Gipson, Rachel Lorenc, Victoria Zinsmeyer and 20 more

Abstract read
In one paragraph

Article in Blood advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Article
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.

Susan DeWolfLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-2754-3537
Jason KuttiyaraDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Paola VinciDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Teng FeiDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-7888-1715
John SlingerlandDepartment of Immunology, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY.
Zoe KatsamakisDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Joshua A FeinDepartment of Medicine, Weill Cornell Medical College, New York, NY.
Brianna GipsonDepartment of Immunology, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0009-0005-5837-8676
Rachel LorencWeill Cornell Medical College, New York, NY.
Victoria ZinsmeyerDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.
LeeAnn MarcelloDepartment of Immunology, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY.
Paul GiardinaDepartment of Immunology, Sloan Kettering Institute, Memorial Sloan Kettering Cancer Center, New York, NY.
William DonohoeDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Gunjan ShahAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Richard LinAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-0834-7880
Esperanza PapadopoulosAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-6066-1861
Boglarka GyurkoczaAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Brian ShafferAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Martin TallmanLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Ioannis PolitikosAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Sergio A GiraltAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0003-1944-5053
Juliet BarkerDepartment of Medicine, Weill Cornell Medical College, New York, NY.
Miguel-Angel PeralesAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-5910-4571
Roni TamariAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Omar Abdel-WahabLeukemia Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Christina ChoDepartment of Hematology, Hackensack University Medical Center, John Theurer Cancer Center, Hackensack, NJ.
Katharine HsuAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Jonathan U PeledAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-4029-7625
Marcel R M van den BrinkCity of Hope Los Angeles and National Medical Center, Duarte, CA.
Alan M HanashAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-3273-3634

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
T LYMPHOCYTE SUBSET FUNCTION POST-TRANSPLANTATIONP01CA023766 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PERALES, MIGUEL-ANGEL · 1985 to 2023
$59.0M
Understanding mechanisms of impaired immunity in the AML bone marrowK08CA293271 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Susan E DeWolf · 2024 to 2026
$911k
Genomics Research Experience for Master's Students (GEMS) FellowshipR25CA272282 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI KATHERINE S PANAGEAS, Ronglai Shen · 2023 to 2026
$418k
NCI NIH HHS K08 CA293271NCI NIH HHS P01 CA023766NCI NIH HHS P30 CA008748NCI NIH HHS R25 CA272282
6 · The paper itself

Abstract

abstractThe bone marrow represents the tumor microenvironment for many hematologic malignancies and a potentially critical site for alloimmunity after hematopoietic transplantation. Despite the importance of immune reconstitution (IR) after transplant, marrow IR data are limited, and insights are largely derived from studies of peripheral blood (PB). We investigated lymphocyte IR longitudinally in marrow (n = 110) and PB samples (n = 115) from adults undergoing allogeneic transplantation for hematologic malignancies (n = 33). This transplant cohort included a diverse representation of graft sources (mobilized PB, CD34-selected grafts, and umbilical cord blood) and degrees of HLA mismatch. Natural killer (NK) cells quickly expanded within the first 30 days after transplant in both the marrow and PB, but were then outnumbered by T cells in PB after day 100. In contrast, NK cells remained dominant in the marrow at day 100 (P < .01, paired Wilcoxon signed-rank test), and thereafter marrow T and NK cell frequencies were similar throughout year 1. Tissue-specific features after transplant included fewer regulatory T cells, more innate lymphoid cells, and increased CD69 expression on lymphocytes in the marrow compared with PB. Furthermore, day 100 PD1 (programmed cell death protein 1) expression on marrow T cells was greater in nonrelapsing patients than those who subsequently relapsed. These findings reveal persistent NK dominance of the marrow early after transplant and suggest correlations between marrow immunity and clinical transplant outcomes.

Indexed as

Bone MarrowHematologic NeoplasmsHematopoietic Stem Cell TransplantationImmune ReconstitutionAdultAgedFemaleHumansKiller Cells, NaturalMaleMiddle AgedRecurrenceTransplantation, HomologousYoung Adult

Identifiers

PMID40505068
PMCPMC12550711

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Registered trials

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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.