Evidence map›Paper›PMID 23466818›Full record

ArticleHuman vaccines & immunotherapeutics2013

Remarkable tumor lysis in a hepatocellular carcinoma patient immediately following glypican-3-derived peptide vaccination: an autopsy case.

Yu Sawada, Toshiaki Yoshikawa, Satoshi Fujii, Shuichi Mitsunaga, Daisuke Nobuoka, Shoichi Mizuno, Mari Takahashi, Chisako Yamauchi, Itaru Endo, Tetsuya Nakatsura

Open access · hybridAbstract readCase Reports
In one paragraph

Article in Human vaccines & immunotherapeutics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

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  15. Glypican 3 overexpression in primary and metastatic Wilms tumors.Virchows Archiv : an international journal of pathology · 2015
    Article
  16. Hepatocellular carcinoma from an immunologic perspective.Clinical cancer research : an official journal of the American Association for Cancer Research · 2013
    Article
  17. Review
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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 2 institutions in 1 country.

Yu SawadaDivision of Cancer Immunotherapy; National Cancer Center Hospital East; Kashiwa, Chiba Japan; Department of Gastroenterology; Yokohama City University; Yokohama, Kanagawa Japan.
Toshiaki Yoshikawa
Satoshi Fujii
Shuichi Mitsunaga
Daisuke Nobuoka
Shoichi Mizuno
Mari Takahashi
Chisako Yamauchi
Itaru Endo
Tetsuya Nakatsura
National Cancer Center Hospital East · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We recently reported the safety, immunological and clinical responses to a GPC3-derived peptide vaccine in a phase I clinical trial of patients with advanced hepatocellular carcinoma (HCC). We conducted a subsequent trial in advanced HCC to assess the histopathological findings before and after vaccination with the GPC3 peptide. Here, we present the clinical course and the pathological study including the autopsy of a patient with advanced HCC in the ongoing clinical trial. A 62-year old patient suffering from HCC refractory to sorafenib therapy received the GPC3 peptide vaccine. The patient had fever and remarkably impaired liver function twice after vaccination. Contrast-enhanced CT after the second vaccination showed multiple low-density areas in the liver tumor, indicating tumor necrosis. In contrast, the tumor thrombus in the right atrium increased. The patient discontinued protocol treatment due to disease progression and died 30 days after the second vaccination. An autopsy was performed to determine the main cause of death and to evaluate the antitumor effect of the vaccination. A histological examination showed central necrosis in most of the intrahepatic tumor. The main cause of death was circulatory failure due to tumor thrombus, which occupied most of the right atrium. An immunohistochemical analysis revealed infiltration of CD8-positive T cells in the residual carcinoma, but not within the cirrhotic area. Ex vivo IFN-γ enzyme-linked immunospot analysis revealed vaccine-induced immune-reactivity against the GPC3 peptide. A histopathological examination at the estimated time of a strong immunological response demonstrated a GPC3 peptide vaccination-induced cytotoxic T-lymphocyte response with an anti-tumor effect.

Indexed as

AutopsyCancer VaccinesCarcinoma, HepatocellularEndocardiumGlypicansHeart NeoplasmsHistocytochemistryHumansImmunohistochemistryImmunotherapyLiverMaleMiddle AgedNeoplasmsShockThrombosisCancer VaccinesGlypicansGPC3 protein, humanCTLglypican-3HCCpeptide vaccinetumor necrosis

Identifiers

PMID23466818
PMCPMC3901810
OpenAlexW2038313405

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LicenceCC BY-NC
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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.