Evidence map›Paper›PMID 42474002›Full record

ArticleeLife2026

DuoHexaBody-CD37 induces direct cytotoxic signaling in diffuse large B-cell lymphoma.

Simar Pal Singh, Kumar Mangalam, Michelle D van den Beukel, Sjoerd van Deventer, Marije B Overdijk, M Guy Roukens, Kim C M Santegoets, Esther C W Breij, Martin Ter Beest, Willem P J Cox and 1 more

Abstract read
In one paragraph

Article in eLife, 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

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

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

11 authors.

Simar Pal SinghDepartment of Medical BioSciences, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
Kumar Mangalam *Department of Medical BioSciences, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.ORCID https://orcid.org/0009-0007-5969-7120
Michelle D van den Beukel *Department of Medical BioSciences, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
Sjoerd van DeventerDepartment of Medical BioSciences, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
Marije B OverdijkGenmab, Utrecht, Netherlands.
M Guy RoukensGenmab, Utrecht, Netherlands.
Kim C M SantegoetsGenmab, Utrecht, Netherlands.
Esther C W BreijGenmab, Utrecht, Netherlands.
Martin Ter BeestDepartment of Medical BioSciences, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
Willem P J CoxDepartment of Medical BioSciences, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.
Annemiek B van SprielDepartment of Medical BioSciences, Radboud Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, Netherlands.ORCID https://orcid.org/0000-0002-3590-2368

Funding

Dutch Cancer Society 12949Dutch Cancer Society 14726European Research Council 10.3030/101112687European Research Council 10.3030/724281Netherlands Organization for Scientific Research 24.005.009Netherlands Organization for Scientific Research ICI00023ZonMw 09120012010023
6 · The paper itself

Abstract

Diffuse large B-cell lymphoma (DLBCL) is a common aggressive form of non-Hodgkin lymphoma. Tetraspanin CD37 is highly expressed on mature B cells and being studied as a therapeutic target for NHL, including DLBCL. DuoHexaBody-CD37 is a biparatopic antibody with an E430G hexamerization-enhancing mutation targeting two non-overlapping CD37 epitopes shown to promote complement-dependent cytotoxicity. However, the impact of DuoHexaBody-CD37 on direct cytotoxic signaling has not yet been studied. Here, we demonstrate that DuoHexaBody-CD37 induces direct cytotoxicity in DLBCL-derived tumor cell lines independent of the subtype. DuoHexaBody-CD37 induced significant CD37 clustering and was retained at the cell surface in contrast to rituximab, which was internalized. Unbiased screening identified the modulation of 26 (phospho)proteins upon DuoHexaBody-CD37 treatment of primary B cells or DLBCL cells. Whereas DLBCL cells predominantly upregulated p-SHP1(Y564) upon DuoHexaBody-CD37 treatment, primary B cells showed significantly increased p-AKT(S473) and MAPK signaling which is linked to cell survival. Studies using CD37-mutants identified the N-terminus to be involved in DuoHexaBody-CD37-induced signaling. Finally, DuoHexaBody-CD37 treatment inhibited cytokine pro-survival signaling in DLBCL cells. These findings provide novel insights into the signaling functions of CD37 upon DuoHexaBody-CD37 treatment, and open up opportunities for developing CD37-targeted immunotherapy in combination with small molecule inhibitors to maximize tumor cell death.

Indexed as

Antigens, NeoplasmLymphoma, Large B-Cell, DiffuseSignal TransductionTetraspaninsB-LymphocytesCell Line, TumorHumansAntigens, NeoplasmCD37 protein, humanTetraspaninsantibody therapycancer biologycell biologyhumanlymphomaplasma membranesignalingtetraspanin

Identifiers

PMID42474002
PMCPMC13384490

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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.