Evidence map›Paper›PMID 42327600›Full record

ArticleBlood neoplasia2026

Myeloid cell-mediated killing of B-ALL by CD38 and CD20 IgA antibody variants is enhanced by CD47/SIRPα interference.

Marta Lustig, Maja Kowol, Alina M Hartmann, Ida C van der Peet, Marco J H Jansen, Katharina Iben, Dorothee Winterberg, Steffen Krohn, Niklas Baumann, Thies Rösner and 20 more

Abstract read
In one paragraph

Article in Blood neoplasia, 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. 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.

Marta LustigDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Maja KowolDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Alina M HartmannDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Ida C van der PeetCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Marco J H JansenCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Katharina IbenDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Dorothee WinterbergDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Steffen KrohnDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Niklas BaumannDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Thies RösnerDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Sonja BendigDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Christoph HahnDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Alexander A WurmPediatric Hematology/Oncology, TU Dresden and University Medical Center Carl Gustav Carus, Dresden, Germany.
Carina L GehlertDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Miriam DenkerDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Pipob SuwanchaikasemBaiya Phytopharm Co, Ltd, Bangkok, Thailand.
Arturo Macarrón PalaciosGenCC GmbH & Co KG, Heidelberg, Germany.
Stefan SchwartzDepartment of Hematology, Oncology and Cancer Immunology (Campus Benjamin Franklin), Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität and Humboldt-Universität zu Berlin, Berlin, Germany.
Monika BrüggemannDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Renate BurgerDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Kerstin SchmittDepartment of Molecular Microbiology and Genetics, Institute of Microbiology and Genetics, Georg-August-University of Göttingen, Göttingen, Germany.
Katja KlauszDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Oliver ValeriusDepartment of Molecular Microbiology and Genetics, Institute of Microbiology and Genetics, Georg-August-University of Göttingen, Göttingen, Germany.
Friedrich StölzelDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Lorenz BastianDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Claudia D BaldusDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Matthias PeippDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.
Jeanette H W LeusenCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Denis M ScheweClinical Research Unit "CATCH ALL" (KFO 5010), University Medical Center Schleswig-Holstein, Kiel, Germany.
Thomas ValeriusDepartment of Medicine II, Hematology and Oncology, University Medical Center Schleswig-Holstein, Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enhancing myeloid effector cell recruitment may improve immunotherapy by monoclonal antibodies, including those against acute lymphoblastic leukemia (ALL). To assess the expression of target antigens in B-cell ALL (B-ALL), we compared mRNA profiling of 559 patient leukemia samples across 18 molecular subtypes with that of representative cell lines. The latter served as target cells to compare human immunoglobulin G1 (IgG1) or IgA2 variants against CD19, CD20, or CD38 in antibody-dependent cellular phagocytosis (ADCP) by macrophages and antibody-dependent cell-mediated cytotoxicity (ADCC) by polymorphonuclear leukocytes (PMN). Interestingly, antibodies against broadly expressed CD19 were negligibly effective in mediating ADCP or ADCC. Antibodies against CD20 or CD38, the former variably expressed across subtypes, triggered ADCP by macrophages both as IgG1 and IgA2. However, PMN-mediated ADCC against CD20 or CD38 was only observed with IgA2 variants but not with respective IgG1 antibodies. Blocking the myeloid checkpoint CD47/signal regulatory protein α (SIRPα) enhanced ADCP and ADCC by IgA2 antibodies against CD20 and CD38 but not CD19. Both CD47 and its enzymatic modifier glutaminyl-peptide cyclotransferase-like protein (QPCTL), which can be inhibited by small molecules, were broadly expressed across B-ALL subtypes. QPCTL catalyzes the formation of an N-terminal pyroglutamic acid on CD47, which is directly involved in CD47/SIRPα interactions as shown by novel engineered CD47 variants. Importantly, the combination of anti-CD38 IgA2 and CD47 blockade was effective against xenografted B-ALL in human FcαRI (CD89) transgenic NXG mice. Together, these studies support combining anti-CD38 IgA2 with CD47 interference to improve myeloid effector cell recruitment for B-ALL immunotherapy.

Identifiers

PMID42327600
PMCPMC13276745

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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.