Evidence map›Paper›PMID 23657629›Full record

Trial reportCancer immunology, immunotherapy : CII2013

Activation, dysfunction and retention of T cells in vaccine sites after injection of incomplete Freund's adjuvant, with or without peptide.

Elise P Salerno, Sofia M Shea, Walter C Olson, Gina R Petroni, Mark E Smolkin, Chantel McSkimming, Kimberly A Chianese-Bullock, Craig L Slingluff

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer immunology, immunotherapy : CII, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Review
  11. Article
  12. Article
  13. Prostaglandin ECancer immunology, immunotherapy : CII · 2020
    Article
  14. Article
  15. Review
  16. Article
  17. Personalized cancer vaccines: adjuvants are important, too.Cancer immunology, immunotherapy : CII · 2018
    Review
  18. Article
  19. Article
  20. Development of Peptide Vaccines in Dengue.Current pharmaceutical design · 2018
    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

8 authors at 2 institutions in 1 country.

Elise P SalernoDivision of Surgical Oncology, Department of Surgery, University of Virginia, Charlottesville, VA, USA.
Sofia M Shea
Walter C Olson
Gina R Petroni
Mark E Smolkin
Chantel McSkimming
Kimberly A Chianese-Bullock
Craig L Slingluff
University of Virginia · USUniversity of Virginia Health System · US

Funding

Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Thomas P. Loughran · 1987 to 2026
$72.1M
ZACOPRIDE VS METOCLOPRAMIDE--EFFECT ON LOWER ESOPHAGEAL SPHINCTERM01RR000847 · NCRR · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI BRETON, MARC D · 1985 to 2010
$48.1M
Cardiovascular Surgery Training ProgramT32HL007849 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KRON, IRVING L., LAUBACH, VICTOR E · 1998 to 2025
$7.0M
Postdoctoral Training Grant for MDs in Surgical Oncology ResearchT32CA163177 · NCI · UNIVERSITY OF VIRGINIA · PI Craig Lee Slingluff, Allan Tsung · 2011 to 2026
$4.6M
MELANOMA VACCINES USING MHC-ASSOCIATED PEPTIDESR01CA057653 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI SLINGLUFF, CRAIG LEE · 1997 to 2012
$3.4M
NCI NIH HHS P30 CA044579NCI NIH HHS P30CA44579NCI NIH HHS R01 CA057653NCI NIH HHS T32 CA163177NCRR NIH HHS M01 RR000847NCRR NIH HHS M01RR00847NHLBI NIH HHS T32 HL007849NHLBI NIH HHS T32HL007849
6 · The paper itself

Abstract

We conducted a randomized clinical trial in 45 patients with resected AJCC stage IIB-IV melanoma to characterize cellular and molecular events at sites of immunization with incomplete Freund's adjuvant (IFA) alone, or a melanoma vaccine in IFA. At a primary vaccine site, all patients received a multi-peptide melanoma vaccine in IFA. At a replicate vaccine site, which was biopsied, group 1 received IFA only; group 2 received vaccine in IFA. Lymphocytes isolated from replicate vaccine site microenvironments (VSME) were compared to time-matched peripheral blood mononuclear cells (PBMC) in ELISpot and flow cytometry assays. Compared to PBMC, the VSME had fewer naïve and greater proportions of effector memory CD8(+) T cells (TCD8). The vast majority of TCD8 within the VSME were activated (CD69(+)), with a concentration of antigen-specific (tetramer(pos)) cells in the VSME, particularly in vaccine sites with peptide (group 2). CXCR3(+) lymphocytes were concentrated in the VSME of all patients, suggesting IFA-induced chemokine recruitment. TCD8 expression of retention integrins αEβ7 and α1β1 was elevated in VSME, with the highest levels observed in antigen-specific cells in VSME containing peptide (group 2). TCD8 retained in the VSME of both groups were strikingly dysfunctional, with minimal IFN-γ production in response to peptide stimulation and few tetramer(pos) cells producing IFN-γ. These data suggest that vaccine-induced selective retention and dysfunction of antigen-specific TCD8 within VSME may represent a significant mechanism underlying transient immune responses and low clinical response rates to peptide vaccines administered in IFA.

Indexed as

Antigens, CDAntigens, Differentiation, T-LymphocyteCancer VaccinesCD69 AntigensCD8-Positive T-LymphocytesFemaleFreund's AdjuvantHumansIntegrin alpha1beta1IntegrinsInterferon-gammaLectins, C-TypeLeukocytes, MononuclearLipidsLymphocyte ActivationMaleAntigens, CDAntigens, Differentiation, T-LymphocyteCancer VaccinesCD69 AntigensCXCR3 protein, humanFreund's Adjuvantincomplete Freund's adjuvantIntegrin alpha1beta1integrin alphaEbeta7IntegrinsInterferon-gammaLectins, C-TypeLipidsPeptidesReceptors, CXCR3

Identifiers

PMID23657629
PMCPMC3813823
OpenAlexW2055238647

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.