Evidence map›Paper›PMID 23221383›Full record

ArticleCancer research2013

Targeting tumor-infiltrating macrophages decreases tumor-initiating cells, relieves immunosuppression, and improves chemotherapeutic responses.

Jonathan B Mitchem, Donal J Brennan, Brett L Knolhoff, Brian A Belt, Yu Zhu, Dominic E Sanford, Larisa Belaygorod, Danielle Carpenter, Lynne Collins, David Piwnica-Worms and 9 more

Abstract read
In one paragraph

Article in Cancer research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 617 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
617citing papers in PubMed, 2 pooled it
16.3field-weighted citation impact, top 1% 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

617 citing papers in PubMed, 2 syntheses or guidelines pooled it, 934 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Neoadjuvant BMS-813160, Nivolumab, Gemcitabine, and Nab-Paclitaxel for Patients with Pancreatic Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
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  18. Immunity and Beyond: Emerging Roles of Monocytes and Macrophages in Cancer.Advances in experimental medicine and biology · 2026
    Review
  19. Article
  20. Article

557 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

19 authors at 6 institutions in 3 countries.

Jonathan B MitchemDepartment of Surgery, Washington University School of Medicine, St Louis, MO 63110, USA.
Donal J Brennan
Brett L Knolhoff
Brian A Belt
Yu Zhu
Dominic E Sanford
Larisa Belaygorod
Danielle Carpenter
Lynne Collins
David Piwnica-Worms
Stephen Hewitt
Girish Mallya Udupi
William M Gallagher
Craig Wegner
Brian L West
Andrea Wang-Gillam
Peter Goedegebuure
David C Linehan
David G DeNardo
Imaging Center · USPlexxikon (United States)Mallinckrodt (Ireland) · IENational Cancer Institute · USMallinckrodt (United States) · USUniversity of Queensland · AU

Funding

WU-MDACC Inter-Institutional Molecular Imaging CenterP50CA094056 · NCI · WASHINGTON UNIVERSITY · PI KOPAN, RAPHAEL · 2002 to 2016
$26.3M
SURGICAL ONCOLOGY TRAINING GRANTT32CA009621 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN, William E. Gillanders · 1988 to 2026
$12.9M
NCI NIH HHS P50 CA094056NCI NIH HHS P50 CA 94056NCI NIH HHS T32 CA 009621NCI NIH HHS T32 CA009621
6 · The paper itself

Abstract

Tumor-infiltrating immune cells can promote chemoresistance and metastatic spread in aggressive tumors. Consequently, the type and quality of immune responses present in the neoplastic stroma are highly predictive of patient outcome in several cancer types. In addition to host immune responses, intrinsic tumor cell activities that mimic stem cell properties have been linked to chemoresistance, metastatic dissemination, and the induction of immune suppression. Cancer stem cells are far from a static cell population; rather, their presence seems to be controlled by highly dynamic processes that are dependent on cues from the tumor stroma. However, the impact immune responses have on tumor stem cell differentiation or expansion is not well understood. In this study, we show that targeting tumor-infiltrating macrophages (TAM) and inflammatory monocytes by inhibiting either the myeloid cell receptors colony-stimulating factor-1 receptor (CSF1R) or chemokine (C-C motif) receptor 2 (CCR2) decreases the number of tumor-initiating cells (TIC) in pancreatic tumors. Targeting CCR2 or CSF1R improves chemotherapeutic efficacy, inhibits metastasis, and increases antitumor T-cell responses. Tumor-educated macrophages also directly enhanced the tumor-initiating capacity of pancreatic tumor cells by activating the transcription factor STAT3, thereby facilitating macrophage-mediated suppression of CD8(+) T lymphocytes. Together, our findings show how targeting TAMs can effectively overcome therapeutic resistance mediated by TICs.

Indexed as

AnimalsCell CommunicationDeoxycytidineDrug Resistance, NeoplasmFemaleGemcitabineHumansImmune ToleranceMacrophagesMiceNeoplasm MetastasisNeoplasmsNeoplastic Stem CellsReceptor, Macrophage Colony-Stimulating FactorReceptors, CCR2STAT3 Transcription FactorDeoxycytidineGemcitabineReceptor, Macrophage Colony-Stimulating FactorReceptors, CCR2STAT3 Transcription Factor

Identifiers

PMID23221383
PMCPMC3563931
OpenAlexW2157612047

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.