Evidence map›Paper›PMID 23787994›Full record

ReviewCell death and differentiation2014

Immune-based mechanisms of cytotoxic chemotherapy: implications for the design of novel and rationale-based combined treatments against cancer.

L Bracci, G Schiavoni, A Sistigu, F Belardelli

3 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Cell death and differentiation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 512 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
512citing papers in PubMed, 12 pooled it
18.7field-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.

NCT03348969 phase4completednot on this mapstarted 2017, after this paper: background citation

Neoadjuvant Short-term Intensive Chemoresection Versus Standard Adjuvant Intravesical Instillations in NMIBC

TypeinterventionalSponsorJørgen Bjerggaard JensenRan2017 to 2025Enrolled120ConditionsBladder CancerArmsMitomycin c
NCT03390595 phase2completednot on this mapstarted 2018, after this paper: background citation

Phase II Multicentre, Randomized, Open-label Study to Evaluate the Safety and Efficacy of Avelumab With Gemcitabine/Carboplatin Versus Gemcitabine/Carboplatin Alone in Patients With Unresectable or Metastatic Urothelial Carcinoma (UC) Who Have Not Received Prior Systemic Therapy and Who Are Ineligible to Receive Cisplatin-based Therapy.

TypeinterventionalSponsorAssociació per a la Recerca Oncologica, SpainRan2018 to 2022Enrolled85ConditionsMetastatic Urothelial CancerArmsavelumab 10mg/kg with carboplatin/gemcitabine, carboplatin/gemcitabine alone
NCT04765709 phase2terminatednot on this mapstarted 2021, after this paper: background citation

BRIDGE Trial: Phase II Trial of durvalumaB and chemotheRapy Induction Followed by Durvalumab and Radiotherapy in larGe volumE Stage III NSCLC

TypeinterventionalSponsorMario Negri Institute for Pharmacological ResearchRan2021 to 2025Enrolled10ConditionsNon-small Cell Lung Cancer Stage IIIArmsdurvalumab plus platinum-based chemotherapy (cisplatin or carboplatin plus vinorelbine or pemetrexed), Durvalumab plus radiotherapy, durvalumab
3 · Its place in the literature

Who cites it

512 citing papers in PubMed, 12 syntheses or guidelines pooled it, 925 citations in OpenAlex.

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452 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

4 authors at 1 institution in 1 country.

L BracciDepartment of Hematology, Oncology and Molecular Medicine, Istituto Superiore di Sanità, Rome, Italy.
G Schiavoni
A Sistigu
F Belardelli
Istituto Superiore di Sanità · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conventional anticancer chemotherapy has been historically thought to act through direct killing of tumor cells. This concept stems from the fact that cytotoxic drugs interfere with DNA synthesis and replication. Accumulating evidence, however, indicates that the antitumor activities of chemotherapy also rely on several off-target effects, especially directed to the host immune system, that cooperate for successful tumor eradication. Chemotherapeutic agents stimulate both the innate and adaptive arms of the immune system through several modalities: (i) by promoting specific rearrangements on dying tumor cells, which render them visible to the immune system; (ii) by influencing the homeostasis of the hematopoietic compartment through transient lymphodepletion followed by rebound replenishment of immune cell pools; (iii) by subverting tumor-induced immunosuppressive mechanisms and (iv) by exerting direct or indirect stimulatory effects on immune effectors. Among the indirect ways of immune cell stimulation, some cytotoxic drugs have been shown to induce an immunogenic type of cell death in tumor cells, resulting in the emission of specific signals that trigger phagocytosis of cell debris and promote the maturation of dendritic cells, ultimately resulting in the induction of potent antitumor responses. Here, we provide an extensive overview of the multiple immune-based mechanisms exploited by the most commonly employed cytotoxic drugs, with the final aim of identifying prerequisites for optimal combination with immunotherapy strategies for the development of more effective treatments against cancer.

Indexed as

Adaptive ImmunityAnimalsAntineoplastic AgentsCell DeathDendritic CellsHumansImmunotherapyNeoplasmsTumor MicroenvironmentAntineoplastic Agents

Identifiers

PMID23787994
PMCPMC3857622
OpenAlexW2034751554

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.