Evidence map›Paper›PMID 17257431›Full record

Trial reportJournal of translational medicine2007

Immune-mediated changes in actinic keratosis following topical treatment with imiquimod 5% cream.

Abel Torres, Leslie Storey, Makala Anders, Richard L Miller, Barbara J Bulbulian, Jizhong Jin, Shalini Raghavan, James Lee, Herbert B Slade, Woubalem Birmachu

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Journal of translational medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.1field-weighted citation impact, top 8% 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.

NCT00335179 phase2completednot on this map

Double-Blind, Vehicle-Controlled Study to Evaluate Cellular and Molecular Events During Four Weeks of Treatment for Actinic Keratosis With Aldara (Imiquimod) Cream, 5%

TypeinterventionalSponsorGraceway Pharmaceuticals, LLCRan2003 to 2003Enrolled17ConditionsActinic KeratosisArmsAldara (imiquimod 5% cream), Vehicle cream
NCT01935310 nacompletednot on this mapstarted 2010, after this paper: background citation

Clinical and Histological Analysis of Photoaging Treatment With Imiquimod Cream 5%

TypeinterventionalSponsorCES UniversityRan2010 to 2013Enrolled17ConditionsPhotoagingArmsImiquimod
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 55 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Patient satisfaction and reported outcomes on the management of actinic keratosis.Clinical, cosmetic and investigational dermatology · 2017
    Review
  7. Article
  8. Article
  9. Article
  10. Roles of the immune system in skin cancer.The British journal of dermatology · 2011
    Review
  11. Article
  12. Current and emerging treatment strategies for the treatment of actinic keratosis.Clinical, cosmetic and investigational dermatology · 2010
    Article
  13. The immunologic aspects of poxvirus oncolytic therapy.Cancer immunology, immunotherapy : CII · 2009
    Review
  14. Article
  15. 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

10 authors at 4 institutions in 1 country.

Abel TorresDermatology Office, Loma Linda University Medical Center, Loma Linda, California, USA. abelt@aol.com
Leslie Storey
Makala Anders
Richard L Miller
Barbara J Bulbulian
Jizhong Jin
Shalini Raghavan
James Lee
Herbert B Slade
Woubalem Birmachu
3M (United States) · USData Sciences International (United States) · USLoma Linda University Medical Center · USLoma Linda University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to identify the molecular processes responsible for the anti-lesional activity of imiquimod in subjects with actinic keratosis using global gene expression profiling.

methodsA double-blind, placebo-controlled, randomized study was conducted to evaluate gene expression changes in actinic keratosis treated with imiquimod 5% cream. Male subjects (N = 17) with > or = 5 actinic keratosis on the scalp applied placebo cream or imiquimod 3 times a week on nonconsecutive days for 4 weeks. To elucidate the molecular processes involved in actinic keratosis lesion regression by imiquimod, gene expression analysis using oligonucleotide arrays and real time reverse transcriptase polymerase chain reaction were performed on shave biopsies of lesions taken before and after treatment.

resultsImiquimod modulated the expression of a large number of genes important in both the innate and adaptive immune response, including increased expression of interferon-inducible genes with known antiviral, anti-proliferative and immune modulatory activity, as well as various Toll-like receptors. In addition, imiquimod increased the expression of genes associated with activation of macrophages, dendritic cells, cytotoxic T cells, and natural killer cells, as well as activation of apoptotic pathways.

conclusionData suggest that topical application of imiquimod stimulates cells in the skin to secrete cytokines and chemokines that lead to inflammatory cell influx into the lesions and subsequent apoptotic and immune cell-mediated destruction of lesions.

Indexed as

Adaptive ImmunityAdjuvants, ImmunologicAdministration, TopicalAgedAged, 80 and overAminoquinolinesApoptosisCell ProliferationChemokinesDemographyDendritic CellsDosage FormsGene Expression ProfilingGene Expression RegulationHumansImiquimodAdjuvants, ImmunologicAminoquinolinesChemokinesDosage FormsImiquimodInterferon Type IReceptors, Pattern Recognition

Identifiers

PMID17257431
PMCPMC1796543
OpenAlexW2152297207

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.