Evidence map›Paper›PMID 23463003›Full record

ArticleNature communications2013

Aldara activates TLR7-independent immune defence.

Anne Walter, Matthias Schäfer, Virginia Cecconi, Claudia Matter, Mirjana Urosevic-Maiwald, Benedetta Belloni, Nicola Schönewolf, Reinhard Dummer, Wilhelm Bloch, Sabine Werner and 3 more

Open access · bronzeAbstract read
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In one paragraph

Article in Nature communications, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed
25.5field-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

105 citing papers in PubMed, 260 citations in OpenAlex.

  1. Article
  2. Dissecting the role of imiquimod and isostearic acid in Aldara-induced psoriasis mouse model.JID innovations : skin science from molecules to population health · 2026
    Article
  3. Article
  4. Programmed cell death of keratinocytes: an active driver in psoriasis.Apoptosis : an international journal on programmed cell death · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Review
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  10. Article
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  16. Article
  17. Review
  18. Article
  19. Review
  20. Emerging adjuvants for intradermal vaccination.International journal of pharmaceutics · 2023
    Review

45 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

13 authors at 3 institutions in 2 countries.

Anne WalterDepartment of Oncology, University Hospital Zurich, Wagistrasse 14, 8952 Schlieren, Switzerland.
Matthias Schäfer
Virginia Cecconi
Claudia Matter
Mirjana Urosevic-Maiwald
Benedetta Belloni
Nicola Schönewolf
Reinhard Dummer
Wilhelm Bloch
Sabine Werner
Hans-Dietmar Beer
Alexander Knuth
Maries van den Broek
University Hospital of Zurich · CHETH Zurich · CHGerman Sport University Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aldara is a cream used for topical treatment of non-melanoma skin cancer, and is thought to act through stimulation of anti-tumour immunity. The active ingredient, imiquimod, has been shown to stimulate toll-like receptor 7. Aldara also induces psoriasis-like lesions when applied to naive murine skin, and as such is used as a mouse model for psoriasis. Here we find that in naive murine skin, Aldara induces inflammation largely independently of toll-like receptor 7. Surprisingly, inflammasome activation, keratinocyte death and interleukin 1 release also occur in response to the vehicle cream in the absence of imiquimod. We show that isostearic acid, a major component of the vehicle, promotes inflammasome activation in cultured keratinocytes, and so may contribute to the observed effects of Aldara on murine skin. Aldara therefore stimulates at least two immune pathways independently, and both imiquimod and vehicle are required for a full inflammatory response. Although it remains to be tested, it is possible that imiquimod-independent effects also contribute to the therapeutic efficacy of Aldara.

Indexed as

AminoquinolinesAnimalsApoptosisBasal Cell CarcinomaCell ProliferationCells, CulturedCytokinesEpidermisGene Expression RegulationHumansImiquimodImmunityInflammasomesInterferon Type IKeratinocytesKeratosis, ActinicAminoquinolinesCytokinesImiquimodInflammasomesInterferon Type IRNA, MessengerToll-Like Receptor 7

Identifiers

PMID23463003
OpenAlexW2001020866

What OpenQuestion holds

Textmetadata
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.