Evidence map›Paper›PMID 33976418›Full record

ReviewNature reviews. Clinical oncology2021

Beneficial autoimmunity improves cancer prognosis.

Laurence Zitvogel, Claude Perreault, Olivera J Finn, Guido Kroemer

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 2% of its field
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

70 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
  2. Antibodies as biomarkers for cancer risk: a systematic review.Clinical and experimental immunology · 2022
    Pooled it
  3. Review
  4. Review
  5. Humoral contributions to checkpoint blockade therapy.Journal for immunotherapy of cancer · 2026
    Article
  6. Review
  7. Melanosomes support immune evasion in melanoma.Cellular & molecular immunology · 2026
    Article
  8. Oocyte-inspired universal whole-cell vaccines against tumor heterogeneity.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Dynamic changes in nutritional parameters, inflammatory, and immune biomarkers during (chemo-) radiotherapy for head and neck cancer: a prospective longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. The danger theory of immunity revisited.Nature reviews. Immunology · 2024
    Review

10 more citing papers are in PubMed but not listed here.

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

4 authors at 4 institutions in 5 countries.

Laurence ZitvogelGustave Roussy Comprehensive Cancer Institute, Villejuif, France. laurence.zitvogel@orange.fr.
Claude PerreaultInstitute for Research in Immunology and Cancer, Université de Montréal, Montréal, QC, Canada.ORCID http://orcid.org/0000-0001-9453-7383
Olivera J FinnDepartment of Immunology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Guido KroemerGustave Roussy Comprehensive Cancer Institute, Villejuif, France. kroemer@orange.fr.ORCID http://orcid.org/0000-0002-9334-4405
Inserm · FRInstitute for Research in Immunology and Cancer · CAKarolinska University Hospital · SEUniversity of Pittsburgh · US

Funding

Immunoprevention and immunosurveillance of human non-viral cancersR35CA210039 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FINN, OLIVERA J · 2016 to 2022
$6.0M
CIHR FDN 148400NCI NIH HHS R35 CA210039
6 · The paper itself

Abstract

Many tumour antigens that do not arise from cancer cell-specific mutations are targets of humoral and cellular immunity despite their expression on non-malignant cells. Thus, in addition to the expected ability to detect mutations and stress-associated shifts in the immunoproteome and immunopeptidome (the sum of MHC class I-bound peptides) unique to malignant cells, the immune system also recognizes antigens expressed in non-malignant cells, which can result in autoimmune reactions against non-malignant cells from the tissue of origin. These autoimmune manifestations include, among others, vitiligo, thyroiditis and paraneoplastic syndromes, concurrent with melanoma, thyroid cancer and non-small-cell lung cancer, respectively. Importantly, despite the undesirable effects of these symptoms, such events can have prognostic value and correlate with favourable disease outcomes, suggesting 'beneficial autoimmunity'. Similarly, the occurrence of dermal and endocrine autoimmune adverse events in patients receiving immune-checkpoint inhibitors can have a positive predictive value for therapeutic outcomes. Neoplasias derived from stem cells deemed 'not essential' for survival (such as melanocytes, thyroid cells and most cells in sex-specific organs) have a particularly good prognosis, perhaps because the host can tolerate autoimmune reactions that destroy tumour cells at some cost to non-malignant tissues. In this Perspective, we discuss examples of spontaneous as well as therapy-induced autoimmunity that correlate with favourable disease outcomes and make a strong case in favour of this 'beneficial autoimmunity' being important not only in patients with advanced-stage disease but also in cancer immunosurveillance.

Indexed as

AutoimmunityBiomarkers, TumorFemaleHumansImmunologic SurveillanceMaleNeoplasmsPrognosisBiomarkers, Tumor

Identifiers

PMID33976418
OpenAlexW3163003678

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.