Evidence map›Paper›PMID 17222352›Full record

Trial reportGenome biology2007

Sequential gene profiling of basal cell carcinomas treated with imiquimod in a placebo-controlled study defines the requirements for tissue rejection.

Monica C Panelli, Mitchell E Stashower, Herbert B Slade, Kina Smith, Christopher Norwood, Andrea Abati, Patricia Fetsch, Armando Filie, Shelley-Ann Walters, Calvin Astry and 5 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Genome biology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
5.5field-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

50 citing papers in PubMed, 107 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Topical TLR7 agonist imiquimod can induce immune-mediated rejection of skin metastases in patients with breast cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2012
    Trial
  4. Gene expression profiling of cutaneous wound healing.Journal of translational medicine · 2007
    Trial
  5. Review
  6. Review
  7. Review
  8. Article
  9. Barriers to immune cell infiltration in tumors.Journal for immunotherapy of cancer · 2023
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Cancer immune resistance: can theories converge?Emerging topics in life sciences · 2017
    Article
  16. Article
  17. Article
  18. Article
  19. Molecular pathways: toll-like receptors in the tumor microenvironment--poor prognosis or new therapeutic opportunity.Clinical cancer research : an official journal of the American Association for Cancer Research · 2013
    Review
  20. Synergy of topical toll-like receptor 7 agonist with radiation and low-dose cyclophosphamide in a mouse model of cutaneous breast cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2012
    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

15 authors at 6 institutions in 2 countries.

Monica C PanelliImmunogenetics Section, Department of Transfusion Medicine, Clinical Center National Institutes of Health, Bethesda, MD 20892, USA. mpanelli@mail.cc.nih.gov
Mitchell E Stashower
Herbert B Slade
Kina Smith
Christopher Norwood
Andrea Abati
Patricia Fetsch
Armando Filie
Shelley-Ann Walters
Calvin Astry
Eleonora Aricó
Yingdong Zhao
Silvia Selleri
Ena Wang
Francesco M Marincola
National Institutes of Health Clinical Center · USNational Cancer Institute · US3M (United States) · USNaval Medical Research Command · USSkin Wellness Center · USUniversity of Milan · IT

Funding

The Role of Cytopathology in Biomedical ResearchZ01BC010468 · NCI · BASIC SCIENCES · PI ABATI, ANDREA · 2005 to 2007
$2.0M
Immunogenetic Study of Infectious Diseases and CancerZ01CL002118 · CLC · CLINICAL CENTER · PI MARINCOLA, FRANCESCO M · 2007 to 2008
$1.4M
Immunogenetic Study of Infectious Diseases and CancerZIACL002118 · CLC · CLINICAL CENTER · PI MARINCOLA, FRANCESCO M · 2009 to 2012
$0k
6 · The paper itself

Abstract

backgroundImiquimod is a Toll-like receptor-7 agonist capable of inducing complete clearance of basal cell carcinoma (BCC) and other cutaneous malignancies. We hypothesized that the characterization of the early transcriptional events induced by imiquimod may provide insights about immunological events preceding acute tissue and/or tumor rejection.

resultsWe report a paired analysis of adjacent punch biopsies obtained pre- and post-treatment from 36 patients with BCC subjected to local application of imiquimod (n = 22) or vehicle cream (n = 14) in a blinded, randomized protocol. Four treatments were assessed (q12 applications for 2 or 4 days, or q24 hours for 4 or 8 days). RNA was amplified and hybridized to 17.5 K cDNA arrays. All treatment schedules similarly affected the transcriptional profile of BCC; however, the q12 x 4 days regimen, associated with highest effectiveness, induced the most changes, with 637 genes unequivocally stimulated by imiquimod. A minority of transcripts (98 genes) confirmed previous reports of interferon-alpha involvement. The remaining 539 genes portrayed additional immunological functions predominantly involving the activation of cellular innate and adaptive immune-effector mechanisms. Importantly, these effector signatures recapitulate previous observations of tissue rejection in the context of cancer immunotherapy, acute allograft rejection and autoimmunity.

conclusionThis study, based on a powerful and reproducible model of cancer eradication by innate immune mechanisms, provides the first insights in humans into the early transcriptional events associated with immune rejection. This model is likely representative of constant immunological pathways through which innate and adaptive immune responses combine to induce tissue destruction.

Indexed as

Gene Expression ProfilingGene Expression Regulation, NeoplasticAminoquinolinesAntineoplastic AgentsBasal Cell CarcinomaCD56 AntigenCD8 AntigensGenes, NeoplasmHumansImiquimodInterferon-alphaInterferon-gammaPlacebosPolymerase Chain ReactionRNA, MessengerAminoquinolinesAntineoplastic AgentsCD56 AntigenCD8 AntigensImiquimodInterferon-alphaInterferon-gammaPlacebosRNA, Messenger

Identifiers

PMID17222352
PMCPMC1839129
OpenAlexW1869421738

What OpenQuestion 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 OpenQuestion graph.