Evidence map›Paper›PMID 41591497›Full record

ArticleCancer immunology, immunotherapy : CII2026

Metabolic syndrome and immune-related adverse events.

Katherine Lei, Meera J Patel, Jialiang Liu, Rutu Aniruddha Rathod, Mitchell S von Itzstein, Farjana J Fattah, Hong Mu-Mosley, Jeffrey A SoRelle, Jason Y Park, Yang Xie and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Katherine LeiSchool of Medicine, UT Southwestern Medical Center, Dallas, TX, USA.
Meera J PatelPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX, USA.
Jialiang LiuQuantitative Biomedical Research Center, UT Southwestern Medical Center, Dallas, TX, USA.
Rutu Aniruddha RathodPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX, USA.
Mitchell S von ItzsteinDivision of Hematology and Oncology, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Mail Code 8852, Dallas, TX, USA.
Farjana J FattahHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Mail Code 8852, Dallas, TX, USA.
Hong Mu-MosleyHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Mail Code 8852, Dallas, TX, USA.
Jeffrey A SoRelleDepartment of Pathology, UT Southwestern Medical Center, Dallas, TX, USA.
Jason Y ParkHarold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Mail Code 8852, Dallas, TX, USA.
Yang XiePeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX, USA.
Amy E HughesPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX, USA.
Heather KitzmanPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX, USA.
David E GerberPeter O'Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX, USA. david.gerber@utsouthwestern.edu.ORCID http://orcid.org/0000-0002-7812-6741

Funding

UNIVERSITY OF TEXAS--SPORE IN LUNG CANCERP50CA070907 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI HEYMACH, JOHN V., MINNA, JOHN D. · 1996 to 2024
$57.4M
UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MELANIE H. COBB · 2010 to 2026
$53.7M
Finding the optimal balance of immunotherapy efficacy and toxicity.U01AI156189 · NIAID · UT SOUTHWESTERN MEDICAL CENTER · PI GERBER, DAVID ERIC, WAKELAND, EDWARD K. · 2020 to 2024
$3.1M
American Cancer Society-Melanoma Research Alliance Team Award MRAT-18-114-01-LIBHarold C. Simmons Comprehensive Cancer Center Biomarker Research Core and Data Sciences Shared Resource 1P30 CA 142543-03National Institute of Allergy and Infectious Diseases 1U01AI156189-01NCI NIH HHS P30 CA142543NCI NIH HHS P50 CA070907NIAID NIH HHS U01 AI156189University of Texas Lung Cancer Specialized Program of Research Excellence (SPORE P50CA070907-21V Foundation Robin Roberts Cancer Survivorship Award DT2019-007
6 · The paper itself

Abstract

backgroundYears into the immune checkpoint inhibitor (ICI) era, immune-related adverse events (irAE) remain largely unpredictable. Prior studies have examined irAE associations with weight and metabolic diseases, yielding mixed findings. We therefore analyzed these and other variables potentially associated with heightened inflammation and irAE development.

methodsFor ICI-treated individuals enrolled in a prospective institutional clinical and biospecimen registry, we collected demographic, clinical, laboratory, and residence data, pre-ICI serum cytokine levels, and irAE details. We calculated metabolic syndrome (MetS) and area deprivation index (ADI, a measure of neighborhood socioeconomic status), both of which have been associated with heightened inflammation. Patients were categorized as having MetS if they had ≥ 3 of 5 criteria at ICI initiation: hypertension, obesity, elevated HbA1c, low HDL, elevated triglycerides. Baseline serum cytokine/chemokine levels were determined using a multiplex platform. We analyzed associations across variables using logistic regression, Mann-Whitney U, and Cochran Armitage tests, accounting for multiple comparisons.

resultsOverall, 178 ICI-treated patients were included in the analysis, of whom 99 (56%) were classified as having MetS. In multivariable analysis, patients with MetS had greater odds of both grade ≥ 2 irAE (OR 2.82; 95% CI, 1.35-6.14; P = 0.007) and grade ≥ 3 irAE (OR 3.53; 95% CI 1.27-11.68; P = 0.02). However, MetS was not associated with pre-treatment cytokine levels. In contrast, ADI was associated with multiple inflammatory cytokines but not with MetS or irAE.

conclusionsMetS is associated with increased likelihood of moderate and severe irAE. The mechanism and mitigation of this risk merit further investigation.

Indexed as

Drug-Related Side Effects and Adverse ReactionsImmune Checkpoint InhibitorsMetabolic SyndromeNeoplasmsAgedCytokinesFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsCytokinesImmune Checkpoint InhibitorsCytokinesImmune checkpoint inhibitors (ICI)Immune-related adverse events (irAE)Metabolic syndromeObesitySocioeconomic disadvantage

Identifiers

PMID41591497
PMCPMC12847527

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.