Evidence map›Paper›PMID 36720972›Full record

ArticleLeukemia2023

Th17.1 cell driven sarcoidosis-like inflammation after anti-BCMA CAR T cells in multiple myeloma.

Alexander M Leipold, Rudolf A Werner, Johannes Düll, Pius Jung, Mara John, Emilia Stanojkovska, Xiang Zhou, Hannah Hornburger, Anna Ruckdeschel, Oliver Dietrich and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Leukemia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
7.8field-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

18 citing papers in PubMed, 34 citations in OpenAlex.

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  15. Theranostics in Hematooncology.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
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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

20 authors at 4 institutions in 1 country.

Alexander M LeipoldHelmholtz Institute for RNA-based Infection Research (HIRI), Helmholtz-Center for Infection Research (HZI), Würzburg, Germany.ORCID 0000-0002-9471-3276
Rudolf A WernerDepartment of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.
Johannes DüllDepartment of Internal Medicine 2, University Hospital of Würzburg, Würzburg, Germany.
Pius JungDepartment of Internal Medicine 1, University Hospital of Würzburg, Würzburg, Germany.
Mara JohnMildred Scheel Early Career Center, University Hospital of Würzburg, Würzburg, Germany.
Emilia StanojkovskaMildred Scheel Early Career Center, University Hospital of Würzburg, Würzburg, Germany.
Xiang ZhouDepartment of Internal Medicine 2, University Hospital of Würzburg, Würzburg, Germany.
Hannah HornburgerDepartment of Internal Medicine 2, University Hospital of Würzburg, Würzburg, Germany.
Anna RuckdeschelDepartment of Internal Medicine 2, University Hospital of Würzburg, Würzburg, Germany.
Oliver DietrichHelmholtz Institute for RNA-based Infection Research (HIRI), Helmholtz-Center for Infection Research (HZI), Würzburg, Germany.
Fabian ImdahlHelmholtz Institute for RNA-based Infection Research (HIRI), Helmholtz-Center for Infection Research (HZI), Würzburg, Germany.
Tobias KrammerHelmholtz Institute for RNA-based Infection Research (HIRI), Helmholtz-Center for Infection Research (HZI), Würzburg, Germany.
Stefan KnopDepartment of Internal Medicine 2, University Hospital of Würzburg, Würzburg, Germany.
Andreas RosenwaldInstitute of Pathology, University of Würzburg, Würzburg, Germany.
Andreas BuckDepartment of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.
Leif Erik SanderCharité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department of Infectious Diseases, Respiratory Medicine and Critical Care, Berlin, Germany.
Hermann EinseleDepartment of Internal Medicine 2, University Hospital of Würzburg, Würzburg, Germany.ORCID 0000-0002-7680-0819
K Martin KortümDepartment of Internal Medicine 2, University Hospital of Würzburg, Würzburg, Germany.ORCID 0000-0002-7011-0286
Antoine-Emmanuel SalibaHelmholtz Institute for RNA-based Infection Research (HIRI), Helmholtz-Center for Infection Research (HZI), Würzburg, Germany. emmanuel.saliba@helmholtz-hiri.de.ORCID 0000-0001-8539-2784
Leo RascheMildred Scheel Early Career Center, University Hospital of Würzburg, Würzburg, Germany. Rasche_L@ukw.de.ORCID 0000-0002-9536-9649
Universitätsklinikum Würzburg · DEHelmholtz Institute for RNA-based Infection Research · DEHumboldt-Universität zu Berlin · DEUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pseudo-progression and flare-up phenomena constitute a novel diagnostic challenge in the follow-up of patients treated with immune-oncology drugs. We present a case study on pulmonary flare-up after Idecabtagen Vicleucel (Ide-cel), a BCMA targeting CAR T-cell therapy, and used single-cell RNA-seq (scRNA-seq) to identify a Th17.1 driven autoimmune mechanism as the biological underpinning of this phenomenon. By integrating datasets of various lung pathological conditions, we revealed transcriptomic similarities between post CAR T pulmonary lesions and sarcoidosis. Furthermore, we explored a noninvasive PET based diagnostic approach and showed that tracers binding to CXCR4 complement FDG PET imaging in this setting, allowing discrimination between immune-mediated changes and true relapse after CAR T-cell treatment. In conclusion, our study highlights a Th17.1 driven autoimmune phenomenon after CAR T, which may be misinterpreted as disease relapse, and that imaging with multiple PET tracers and scRNA-seq could help in this diagnostic dilemma.

Indexed as

Multiple MyelomaReceptors, Chimeric AntigenSarcoidosisB-Cell Maturation AntigenHumansInflammationNeoplasm Recurrence, LocalTh17 CellsT-LymphocytesB-Cell Maturation Antigenidecabtagene vicleucelReceptors, Chimeric Antigen

Identifiers

PMID36720972
PMCPMC9888347
OpenAlexW4318619395

What Socratic holds

Textmetadata
LicenceCC BY
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.