Evidence map›Paper›PMID 41895713›Full record

ArticleJournal for immunotherapy of cancer2026

Circulating exhausted CD8+ effector memory cells differentiate immune checkpoint inhibitor-induced liver injury from other acute immune-mediated liver injuries.

Stuart Astbury, Edmond Atallah, Jane I Grove, Amber G Bozward, Scott P Davies, Mark J Sheehan, Steven W Kumpf, Jessie Qian, Natalia M Krajewska, Grace E Wootton and 13 more

Abstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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

23 authors.

Stuart AstburyNottingham Digestive Diseases Centre, Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK guru.aithal@nottingham.ac.uk stuart.astbury@nottingham.ac.uk.ORCID http://orcid.org/0000-0002-1919-3952
Edmond AtallahNottingham Digestive Diseases Centre, Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.
Jane I GroveNottingham Digestive Diseases Centre, Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.
Amber G BozwardCentre for Liver and Gastrointestinal Research, Institute of Biomedical Research, Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Scott P DaviesCentre for Liver and Gastrointestinal Research, Institute of Biomedical Research, Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Mark J SheehanDrug Safety Research and Development, Pfizer Inc, Groton, Connecticut, USA.ORCID http://orcid.org/0009-0007-4916-796X
Steven W KumpfDrug Safety Research and Development, Pfizer Inc, Groton, Connecticut, USA.
Jessie QianDrug Safety Research and Development, Pfizer Inc, Groton, Connecticut, USA.
Natalia M KrajewskaCentre for Liver and Gastrointestinal Research, Institute of Biomedical Research, Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Grace E WoottonCentre for Liver and Gastrointestinal Research, Institute of Biomedical Research, Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Melanie R LingayaNottingham Digestive Diseases Centre, Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.
Davor KresnikNottingham Digestive Diseases Centre, Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK.
Flavia RadulescuNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK.
Ankit RaoDepartment of Oncology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Hester FranksDepartment of Oncology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Lourdes Ruiz-OrtegaLiver Unit, Department of Internal Medicine, Hospital Universitari Vall d'Hebron, Barcelona, Catalonia, Spain.
Mar Riveiro-BarcielaLiver Unit, Department of Internal Medicine, Hospital Universitari Vall d'Hebron, Barcelona, Catalonia, Spain.
Shashi K RamaiahDrug Safety Research and Development, Pfizer Inc, Cambridge, Massachusetts, USA.
Thomas A LanzDrug Safety Research and Development, Pfizer Inc, Groton, Connecticut, USA.
Changhua JiDrug Safety Research and Development, Pfizer Inc, La Jolla, California, USA.
Poulam M PatelDepartment of Oncology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Ye H OoCentre for Liver and Gastrointestinal Research, Institute of Biomedical Research, Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Guruprasad P AithalNottingham Digestive Diseases Centre, Translational Medical Sciences, School of Medicine, University of Nottingham, Nottingham, UK guru.aithal@nottingham.ac.uk stuart.astbury@nottingham.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCheckpoint inhibitor-induced liver injury (ChILI) is an immune-related adverse reaction, occurring in patients with cancer receiving immune checkpoint inhibitors (CPI). ChILI is currently managed with high doses of corticosteroids which carry their own risks and potential side effects, and the lack of available biomarkers makes monitoring patients at risk of developing ChILI a challenge. There is no specific test that distinguishes ChILI from other competing diagnoses such as acute autoimmune hepatitis (AIH) and idiosyncratic drug-induced liver injury (DILI) due to other medications.

methodsPatients with cancer taking immunotherapy who did and did not develop ChILI were recruited. Patients gave samples during the acute phase of liver injury, before CPI treatment and at 12 weeks following the start of CPI therapy if no toxicity developed. Healthy controls were recruited as well as patients with DILI and AIH. Whole blood was taken for broad immune phenotyping using mass cytometry, peripheral blood mononuclear cells were isolated for validatory flow cytometry and single-cell RNA sequencing (RNA-seq), and plasma was used for cytokine profiling. Samples from a second ChILI cohort were used for validation. Snap-frozen liver biopsies were used for bulk RNA-seq to compare the immune response in ChILI to DILI and AIH and correlate with peripheral immune signals. Formalin-fixed paraffin-embedded liver biopsies were used to visualize liver CD8

resultsWe have identified a circulating CD8

conclusionsWe have shown that circulating CD8

Indexed as

CD8-Positive T-LymphocytesChemical and Drug Induced Liver InjuryImmune Checkpoint InhibitorsNeoplasmsAgedFemaleHumansMaleMiddle AgedT-Cell ExhaustionImmune Checkpoint InhibitorsAutoimmuneHepatoxicityImmune Checkpoint InhibitorT-Lymphocytes

Identifiers

PMID41895713
PMCPMC13034233

What Socratic holds

Textmetadata
LicenceCC BY
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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.