Evidence map›Paper›PMID 41920053›Full record

ArticleThoracic cancer2026

Transcriptomic Determinants of Circulating Immunity Predict Immune-Related Adverse Events (irAEs) in Cancer Patients Receiving PD-1/PD-L1 Blockade.

Liting You, Jianzhao Zhai, Zhaodan Xin, Feifei Na, Yang Wen, Jin Li, Jiajia Song, Ling Bai, Xiaohan Zhou, Binwu Ying and 1 more

Abstract read
In one paragraph

Article in Thoracic cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

11 authors.

Liting YouDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.ORCID https://orcid.org/0000-0002-9091-1128
Jianzhao ZhaiDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.ORCID https://orcid.org/0000-0003-4282-5759
Zhaodan XinDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Feifei NaDepartment of Thoracic Cancer, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Yang WenDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Jin LiDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Jiajia SongDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Ling BaiDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Xiaohan ZhouDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Binwu YingDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.ORCID https://orcid.org/0000-0001-8077-3908
Juan ZhouDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.

Funding

National Natural Science Foundation of China 82372331Project of Postdoctoral Foundation of Sichuan University 20826041G4067Young Scientists Fund of the National Natural Science Foundation of China 82302623
6 · The paper itself

Abstract

backgroundDespite the remarkable success of immune checkpoint inhibitor (ICI) therapy in solid tumors, immune-related adverse events (irAEs) have posed great challenges in the whole-course management of ICI immunotherapy. Reliable biomarkers helping to predict irAEs are still limited and lacking.

methodsCancer patients receiving PD-1/PD-L1 blockade were enrolled without limiting tumor type, immunotherapy drugs, or affected organs. Blood samples were collected for PBMC isolation. Whole transcriptomic RNA sequencing was used to discover biomarkers in PBMCs of irAEs patients, validated by RT-PCR in the test set. IrAEs-free survival analysis and subgroup analysis were performed. LASSO regression prediction classifiers were conducted.

resultsOne hundred and two patients were enrolled, with 42 in the training set and 60 in the testing set. The transcriptomic profile of PBMCs distinguished irAEs patients of different grades from non-irAEs patients. Five candidate biomarkers were identified: FXYD7, SPSB2, SLC35E2A, C2, and SERPING1. Lower expression of FXYD7, SPSB2, and SLC35E2A was associated with shorter irAEs-free survival [FXYD7, HR = 3.67, p = 0.0004; SLC35E2A, HR = 3.12, p = 0.0001; SPSB2, HR = 3.41, p = 0.0110]. Higher expression of C2 and SERPING1 was associated with shorter irAEs-free survival in severe cases [C2, HR = 0.30, p = 0.0011; SERPING1, HR = 0.39, p = 0.0082]. Classifiers based on these biomarkers predicted irAEs of all grades (AUC = 0.91) and severe irAEs (AUC = 0.94), with FXYD7, C2, and SERPING1 as key variables.

conclusionsTogether, we revealed crucial circulating immunological determinants in irAEs and provided promising biomarkers to help predict irAEs, which will enlighten future precise management and targeted treatment strategies for irAEs.

Indexed as

Biomarkers, TumorDrug-Related Side Effects and Adverse ReactionsImmune Checkpoint InhibitorsNeoplasmsTranscriptomeAgedB7-H1 AntigenFemaleHumansMaleMiddle AgedPrognosisProgrammed Cell Death 1 ReceptorB7-H1 AntigenBiomarkers, TumorCD274 protein, humanImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 Receptorcirculating transcriptomeFXYD7immune checkpoint inhibitorsimmune‐related adverse events

Identifiers

PMID41920053
PMCPMC13042749

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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.