Evidence map›Paper›PMID 42427930›Full record

ArticleClinical hematology international2026

Natural killer cells from patients relapsing on daratumumab therapy express an exhausted-associated phenotype.

Katrine Fladeland Iversen, Line Nederby, Thomas Lund, Trine Andreasen Leth, Torben Plesner

Abstract read
In one paragraph

Article in Clinical hematology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Katrine Fladeland IversenInstitute of Regional Health Research, University of Southern Denmark.ORCID https://orcid.org/0000-0003-4494-9034
Line NederbyInstitute of Regional Health Research, University of Southern Denmark.
Thomas LundDepartment of Hematology, Odense University Hospital, J.B. Winsløvs Vej 4, 5000 Odense C, Denmark.
Trine Andreasen LethDepartment of Biochemistry and Immunology, Lillebaelt Hospital, University Hospital of Southern Denmark, Beriderbakken 4, 7100 Vejle, Denmark.
Torben PlesnerInstitute of Regional Health Research, University of Southern Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The monoclonal antibody daratumumab can induce antibody-dependent cellular cytotoxicity (ADCC) via CD16 expressed by natural killer (NK) cells. Prior studies have shown that the number of NK cells decreased after initiation of daratumumab treatment. We used flow cytometry to evaluate the expression of immune checkpoint receptors on NK cells from patients with newly diagnosed multiple myeloma (NDMM) compared to myeloma patients progressing during treatment with daratumumab (DRMM). In accordance with prior studies, we found that the percentage of NK cells was significantly lower in the DRMM group compared to the NDMM group. In addition, the percentage of the cytotoxic CD56dim NK cell subset was lower in the DRMM group, and a lower portion of these NK cells expressed CD16, the receptor mediating ADCC. There was no difference in the expression of the inhibitory receptor PD-1, but the NK cells from DRMM patients expressed an exhausted-associated phenotype with a lower expression of the stimulatory receptor DNAM-1 and a higher expression of the inhibitory receptor TIGIT. Dysfunctional NK cells have been observed in other patients progressing on daratumumab. Our data show that patients progressing on DARA-containing regimens display NK cells with an inhibitory-skewed phenotype. Whether this reflects a driver, biomarker, or consequence of resistance requires further functional and longitudinal investigation.

Indexed as

DaratumumabimmunotherapyMultiple myelomaNK cellsresistance

Identifiers

PMID42427930
PMCPMC13348759

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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.