Evidence map›Paper›PMID 21710477›Full record

ArticleEuropean journal of immunology2011

Anti-PD-1 synergizes with cyclophosphamide to induce potent anti-tumor vaccine effects through novel mechanisms.

Mikayel Mkrtichyan, Yana G Najjar, Estella C Raulfs, Maher Y Abdalla, Raed Samara, Rinat Rotem-Yehudar, Larry Cook, Samir N Khleif

Open access · greenAbstract read
In one paragraph

Article in European journal of immunology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed
5.4field-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

79 citing papers in PubMed, 145 citations in OpenAlex.

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  13. Cyclophosphamide augments the efficacy ofFrontiers in oncology · 2023
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19 more citing papers are in PubMed but not listed here.

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

8 authors at 3 institutions in 2 countries.

Mikayel MkrtichyanCancer Vaccine Section, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Yana G Najjar
Estella C Raulfs
Maher Y Abdalla
Raed Samara
Rinat Rotem-Yehudar
Larry Cook
Samir N Khleif
National Cancer Institute · USNational Institutes of Health · USCureTech (Israel) · IL

Funding

Enhancing immune response strategies:ZIABC010755 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KHLEIF, SAMIR · 2009 to 2012
$2.4M
Clinical trial development in cancer vaccinesZIABC010757 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KHLEIF, SAMIR · 2009 to 2012
$1.4M
Enhancing immune response strategies:Z01BC010755 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KHLEIF, SAMIR · 2006 to 2008
$688k
Anti-angiogenesis targeted vaccine therapyZ01BC010752 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KHLEIF, SAMIR · 2006 to 2008
$592k
Anti-angiogenesis targeted vaccine therapyZIABC010752 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KHLEIF, SAMIR · 2009 to 2012
$573k
Intramural NIH HHS Z01 BC010752Intramural NIH HHS Z01 BC010755
6 · The paper itself

Abstract

Programmed death-1 receptor (PD-1) is expressed on T cells following TCR activation. Binding of this receptor to its cognate ligands, programmed death ligand (PDL)-1 and PDL-2, down-regulates signals by the TCR, promoting T-cell anergy and apoptosis, thus leading to immune suppression. Here, we find that using an anti-PD-1 antibody (CT-011) with Treg-cell depletion by low-dose cyclophosphamide (CPM), combined with a tumor vaccine, induces synergistic antigen-specific immune responses and reveals novel activities of each agent in this combination. This strategy led to complete regression of established tumors in a significant percentage of treated animals, with survival prolongation. We show for the first time that combining CT-011 and CPM significantly increases the number of vaccine-induced tumor-infiltrating CD8(+) T cells, with simultaneous decrease in infiltrating Treg cells. Interestingly, we find that CT-011 prolongs Treg-cell inhibition induced by CPM, leading to a sustainable significant synergistic decrease of splenic and tumor-infiltrated Treg cells. Surprisingly, we find that the anti-tumor effect elicited by the combination of CT-011 and CPM is dependent on both CD8(+) and CD4(+) T-cell responses, although the antigen we used is a class I MHC-restricted peptide. Thus, we describe a novel and effective therapeutic approach by combining multiple strategies to target several tumor-mediated immune inhibitory mechanisms.

Indexed as

AnimalsAntibodies, MonoclonalApoptosisApoptosis Regulatory ProteinsB7-H1 AntigenCancer VaccinesCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCyclophosphamideFemaleLymphocyte ActivationMiceMice, Inbred C57BLNeoplasms, ExperimentalPapillomavirus E7 ProteinsProgrammed Cell Death 1 Ligand 2 ProteinAntibodies, MonoclonalApoptosis Regulatory ProteinsB7-H1 AntigenCancer VaccinesCd274 protein, mouseCyclophosphamideoncogene protein E7, Human papillomavirus type 16Papillomavirus E7 ProteinsPdcd1lg2 protein, mouseProgrammed Cell Death 1 Ligand 2 ProteinReceptors, Antigen, T-Cell

Identifiers

PMID21710477
PMCPMC7020689
OpenAlexW1964080141

What OpenQuestion holds

Textmetadata
LicenceTDM
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.