Evidence map›Paper›PMID 18311489›Full record

ArticleCancer immunology, immunotherapy : CII2008

Induction of immune response against NY-ESO-1 by CHP-NY-ESO-1 vaccination and immune regulation in a melanoma patient.

Kazuhide Tsuji, Toshitada Hamada, Akiko Uenaka, Hisashi Wada, Eiichi Sato, Midori Isobe, Kenji Asagoe, Osamu Yamasaki, Hiroshi Shiku, Gerd Ritter and 5 more

Registry-linked trialOpen access · greenAbstract readCase Reports
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01003808 (IMF-001 Phase 1 Study With Refractory Esophageal Tumor), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% 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.

NCT01003808 phase1completednot on this mapstarted 2009, after this paper: background citation

IMF-001 Phase 1 Study With Refractory Esophageal Tumor

TypeinterventionalSponsorImmunoFrontier, Inc.Ran2009 to 2012Enrolled25ConditionsEsophageal CancerArmsIMF-001
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. CTLA-4 blockade enhances polyfunctional NY-ESO-1 specific T cell responses in metastatic melanoma patients with clinical benefit.Proceedings of the National Academy of Sciences of the United States of America · 2008
    Trial
  3. Cancer vaccines: current status and future directions.Journal of hematology & oncology · 2025
    Review
  4. Review
  5. Review
  6. Article
  7. Therapeutic cancer vaccines.Nature reviews. Cancer · 2021
    Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Lessons from cancer immunoediting in cutaneous melanoma.Clinical & developmental immunology · 2012
    Review
  15. Article
  16. Article
  17. 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

15 authors at 7 institutions in 3 countries.

Kazuhide TsujiDepartment of Dermatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan. tsujikaz@cc.okayama-u.ac.jp
Toshitada Hamada
Akiko Uenaka
Hisashi Wada
Eiichi Sato
Midori Isobe
Kenji Asagoe
Osamu Yamasaki
Hiroshi Shiku
Gerd Ritter
Roger Murphy
Eric W Hoffman
Lloyd J Old
Eiichi Nakayama
Keiji Iwatsuki
Okayama University · JPLudwig Cancer Research · USLudwig Cancer Research · AUMemorial Sloan Kettering Cancer Center · USMie University · JPOsaka University · JPTokyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNY-ESO-1 is a cancer/testis antigen highly immunogenic in cancer patients. Cholesterol-bearing hydrophobized pullulan (CHP) is a nanoparticle-forming antigen-delivery vehicle and CHP complexed with NY-ESO-1 protein (CHP-NY-ESO-1) efficiently activates CD4 and CD8 T cells in vitro.

aimIn this study we report on a 50-year-old male melanoma patient with multiple skin and organ metastases (T4N3M1c) who was vaccinated with CHP-NY-ESO-1 at biweekly intervals and who had an unusual disease course. We characterized in this patient humoral and cellular immune responses, immune regulatory cells, and cytokine profiles in the peripheral blood and at local tumor sites.

resultsTen days after the second CHP-NY-ESO-1 vaccination (day 25), blisters appeared on the skin at the metastatic lesions associated with inflammatory changes. A skin biopsy showed the presence of many NY-ESO-1-expressing apoptotic melanoma cells as determined by a terminal deoxynucleotidyl transferase-mediated deoxyuridine triphosphate nick end labeling (TUNEL) test. However, the tumors continued to grow, and the patient died of pulmonary failure due to multiple metastases on day 48. Serum antibody responses were detected after the second CHP-NY-ESO-1 vaccination and antibody titer increased with subsequent vaccinations. Th1 dependent IgG1 was the predominant immunoglobulin subtype. Both, NY-ESO-1-specific CD4 and CD8 T cell responses were detected in PBMC by IFN-gamma secretion assays. After CHP-NY-ESO-1 vaccination a slight decrease in CD4(+)CD25(+)Foxp3(+) Tregs was observed in PBMC but significantly increased numbers of CD4(+)CD25(+)Foxp3(+) Tregs and CD68(+) immunoregulatory macrophages were detected at the local tumor sites. CD4(+)CD25(+)Foxp3(+) Tregs were also increased in the blister fluid. Cytokines in the serum suggested a polarization towards a Th1 pattern in the PBMC and those in the blister fluid suggested a Th2-type response at the tumor site.

conclusionsOur observations indicate induction of specific humoral and cellular immune responses against NY-ESO-1 after CHP-NY-ESO-1 vaccination in a melanoma patient. The concomitant appearance of regulatory T cells and of immune regulatory macrophages and cytokines at the local tumor sites in this patient may explain immune escape.

Indexed as

Antibodies, NeoplasmAntigens, NeoplasmApoptosisCancer VaccinesCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCytokinesFluorescent Antibody TechniqueGlucansHumansImmunoglobulin GIn Situ Nick-End LabelingMacrophagesMaleMelanomaMembrane ProteinsAntibodies, NeoplasmAntigens, NeoplasmCancer VaccinesCTAG1B protein, humanCytokinesGlucansImmunoglobulin GMembrane Proteinspullulan

Identifiers

PMID18311489
PMCPMC11030644
OpenAlexW2012987292

What OpenQuestion holds

Textmetadata
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.