Evidence map›Paper›PMID 37528310›Full record

ArticleLeukemia2023

XPO1 inhibition sensitises CLL cells to NK cell mediated cytotoxicity and overcomes HLA-E expression.

Jack G Fisher, Amber D P Doyle, Lara V Graham, Shreyanshi Sonar, Ben Sale, Isla Henderson, Luis Del Rio, Peter W M Johnson, Yosef Landesman, Mark S Cragg and 4 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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. A PSAT1 buff of YBX1 transcriptionally sustains HLA-E-mediated evasion of NK immunity.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Modulation of anti-tumour immunity by XPO1 inhibitors.Exploration of targeted anti-tumor therapy · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Exploring treatment options in cancer: Tumor treatment strategies.Signal transduction and targeted therapy · 2024
    Review
  19. 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

14 authors at 3 institutions in 2 countries.

Jack G FisherSchool of Clinical and Experimental Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-5090-7503
Amber D P DoyleSchool of Clinical and Experimental Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-3235-5570
Lara V GrahamSchool of Clinical and Experimental Sciences, University of Southampton, Southampton, UK.
Shreyanshi SonarSchool of Clinical and Experimental Sciences, University of Southampton, Southampton, UK.
Ben SaleSchool of Cancer Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-3292-1886
Isla HendersonSchool of Cancer Sciences, University of Southampton, Southampton, UK.
Luis Del RioSchool of Cancer Sciences, University of Southampton, Southampton, UK.
Peter W M JohnsonSchool of Cancer Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-2306-4974
Yosef LandesmanKaryopharm Therapeutics, Newton, MA, 02459, USA.
Mark S CraggSchool of Cancer Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-2077-089X
Francesco ForconiSchool of Cancer Sciences, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-2211-1831
Christopher J WalkerKaryopharm Therapeutics, Newton, MA, 02459, USA.
Salim I KhakooSchool of Clinical and Experimental Sciences, University of Southampton, Southampton, UK.
Matthew D BluntSchool of Clinical and Experimental Sciences, University of Southampton, Southampton, UK. m.d.blunt@soton.ac.uk.ORCID http://orcid.org/0000-0003-1099-3985
University of Southampton · GBKaryopharm Therapeutics (United States) · USUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

Cancer Research UK 26813Cancer Research UK C42023/A29370Medical Research Council MR/MO19829/1Medical Research Council MR/N014308/1Medical Research Council MR/S009388/1
6 · The paper itself

Abstract

The first-in-class inhibitor of exportin-1 (XPO1) selinexor is currently under clinical investigation in combination with the BTK inhibitor ibrutinib for patients with chronic lymphocytic leukaemia (CLL) or non-Hodgkin lymphoma. Selinexor induces apoptosis of tumour cells through nuclear retention of tumour suppressor proteins and has also recently been described to modulate natural killer (NK) cell and T cell cytotoxicity against lymphoma cells. Here, we demonstrate that XPO1 inhibition enhances NK cell effector function against primary CLL cells via downregulation of HLA-E and upregulation of TRAIL death receptors DR4 and DR5. Furthermore, selinexor potentiates NK cell activation against CLL cells in combination with several approved treatments; acalabrutinib, rituximab and obinutuzumab. We further demonstrate that lymph node associated signals (IL-4 + CD40L) inhibit NK cell activation against CLL cells via upregulation of HLA-E, and that inhibition of XPO1 can overcome this protective effect. These findings allow for the design of more efficacious combination strategies to harness NK cell effector functions against CLL.

Indexed as

Histocompatibility Antigens Class IHydrazinesKaryopherinsLeukemia, Lymphocytic, Chronic, B-CellReceptors, Cytoplasmic and NuclearExportin 1 ProteinHLA-E AntigensHumansKiller Cells, NaturalTriazolesExportin 1 ProteinHistocompatibility Antigens Class IHLA-E AntigensHydrazinesKaryopherinsReceptors, Cytoplasmic and NuclearselinexorTriazoles

Identifiers

PMID37528310
PMCPMC10539165
OpenAlexW4385450447

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.