Evidence map›Paper›PMID 24078774›Full record

ArticleCancer discovery2013

Activation of the PD-1 pathway contributes to immune escape in EGFR-driven lung tumors.

Esra A Akbay, Shohei Koyama, Julian Carretero, Abigail Altabef, Jeremy H Tchaicha, Camilla L Christensen, Oliver R Mikse, Andrew D Cherniack, Ellen M Beauchamp, Trevor J Pugh and 17 more

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Cancer discovery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 747 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
747citing papers in PubMed, 5 pooled it
37.3field-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.

NCT03447678 phase2unknown statusnot on this mapstarted 2018, after this paper: background citation

Phase II Study to Test Pembrolizumab (MK-3475) in First Line Treatment of Advanced NSCLC Patients With PD-L1 Low Tumors (<50%)_ PEOPLE TRIAL (Pembrolizumab in Pd-L1 Low Expressors).

TypeinterventionalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2018 to 2022Enrolled65ConditionsNon Small Cell Lung Cancer (NSCLC)ArmsPembrolizumab
NCT03647956 phase2unknown statusnot on this mapstarted 2018, after this paper: background citation

Atezolizumab in Combination With Bevacizumab, Carboplatin and Pemetrexed for EGFR-mutant Metastatic Non-small Cell Lung Cancer Patients After Failure of EGFR Tyrosine Kinase Inhibitors: a Single Arm Phase 2 Study

TypeinterventionalSponsorThe University of Hong KongRan2018 to 2020Enrolled40ConditionsNSCLC Stage IIIB, NSCLC Stage IV, EGFR Activating MutationArmsAtezolizumab, Bevacizumab, Carboplatin, Pemetrexed
3 · Its place in the literature

Who cites it

747 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,232 citations in OpenAlex.

  1. Pooled it
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  7. Transcriptomic Correlates of Tumor Cell PD-L1 Expression and Response to Nivolumab Monotherapy in Metastatic Clear Cell Renal Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
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687 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 9 institutions in 2 countries.

Esra A AkbayDepartments of 1Medicine and 2Medical Oncology and Cancer Vaccine Center, Dana-Farber Cancer Institute; 3Harvard Medical School; 4Ludwig Institute for Cancer Research; 5Department of Neurosurgery, Massachusetts General Hospital; 6Belfer Institute for Applied Cancer Science; 7Department of Pathology, Brigham and Women's Hospital, Boston; 8Broad Institute, Cambridge, Massachusetts; 9UNC Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; and 10Department of Molecular Pharmacology and Therapeutics, Oncology Institute, Loyola University, Chicago, Illinois; 11Department of Physiology, University of Valencia, Valencia, Spain.
Shohei Koyama
Julian Carretero
Abigail Altabef
Jeremy H Tchaicha
Camilla L Christensen
Oliver R Mikse
Andrew D Cherniack
Ellen M Beauchamp
Trevor J Pugh
Matthew D Wilkerson
Peter E Fecci
Mohit Butaney
Jacob B Reibel
Margaret Soucheray
Travis J Cohoon
Pasi A Janne
Matthew Meyerson
D Neil Hayes
Geoffrey I Shapiro
Takeshi Shimamura
Lynette M Sholl
Scott J Rodig
Gordon J Freeman
Peter S Hammerman
Glenn Dranoff
Kwok-Kin Wong
Dana-Farber Cancer Institute · USUniversitat de València · ESUniversity of North Carolina at Chapel Hill · USBroad Institute · USLudwig Cancer Research · USBrigham and Women's Hospital · USHarvard University · USLoyola University Chicago · USMassachusetts General Hospital · US

Funding

Trageting the Multiple Myeloma EpigenomeP50CA100707 · NCI · DANA-FARBER CANCER INSTITUTE · PI ANDERSON, KENNETH C., MUNSHI, NIKHIL C. · 2003 to 2023
$45.0M
Targeting Genomic Instability and Evolution in MyelomaP01CA155258 · NCI · DANA-FARBER CANCER INST · PI Jill Corre · 2011 to 2026
$32.5M
Targeting Myeloma Cell-Host Bone Marrow InteractionsP01CA078378 · NCI · DANA-FARBER CANCER INSTITUTE · PI ANDERSON, KENNETH C. · 1998 to 2014
$26.2M
StructureP01CA154303 · NCI · DANA-FARBER CANCER INST · PI JANNE, PASI A · 2012 to 2021
$17.8M
Translational studies of Hsp90 inhibitors in NSCLCP50CA090578 · NCI · DANA-FARBER CANCER INST · PI JOHNSON, BRUCE D · 2008 to 2012
$11.4M
MUC1-C Oncoprotein Evades Immune Destruction in Non-small Cell Lung CancerR01CA166480 · NCI · DANA-FARBER CANCER INST · PI KUFE, DONALD W., WONG, KWOK KIN · 2012 to 2021
$6.3M
Inhibitor-sensitive and -resistant EGFR mutants from lung cancer and glioblastomaR01CA116020 · NCI · DANA-FARBER CANCER INST · PI ECK, MICHAEL J, MEYERSON, MATTHEW L. · 2006 to 2022
$5.1M
Therapeutic strategies for specific subsets of KRAS mutant lung cancersR01CA140594 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WONG, KWOK KIN · 2009 to 2017
$4.5M
Role of Tumor Stroma in Therapeutic Response and ResistanceU54CA163125 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI CHIN, LYNDA, FLAHERTY, KEITH T · 2011 to 2015
$4.4M
In vivo analysis of EGFR mutant driven lung cancers responses to radiation therapR01CA122794 · NCI · DANA-FARBER CANCER INST · PI WONG, KWOK KIN · 2006 to 2015
$2.8M
In vivo murine models of metastasis for therapeutic testingR01CA163896 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SHARPLESS, NORMAN E, WONG, KWOK KIN · 2012 to 2016
$2.0M
Targeting MFG-E8 as Melanoma ImmunotherapyR01CA143083 · NCI · DANA-FARBER CANCER INST · PI DRANOFF, GLENN · 2010 to 2014
$1.6M
NCI NIH HHS 1K08CA163677NCI NIH HHS CA122794NCI NIH HHS CA140594NCI NIH HHS CA154303NCI NIH HHS CA163896NCI NIH HHS CA166480NCI NIH HHS K08 CA163677NCI NIH HHS P01 CA078378NCI NIH HHS P01 CA154303NCI NIH HHS P01 CA155258NCI NIH HHS P50 CA090578NCI NIH HHS P50CA090578NCI NIH HHS P50 CA100707NCI NIH HHS R01 CA116020NCI NIH HHS R01 CA122794NCI NIH HHS R01 CA140594NCI NIH HHS R01 CA143083NCI NIH HHS R01CA143083NCI NIH HHS R01 CA163896NCI NIH HHS R01 CA166480NCI NIH HHS U54CA163125
6 · The paper itself

Abstract

unlabelledThe success in lung cancer therapy with programmed death (PD)-1 blockade suggests that immune escape mechanisms contribute to lung tumor pathogenesis. We identified a correlation between EGF receptor (EGFR) pathway activation and a signature of immunosuppression manifested by upregulation of PD-1, PD-L1, CTL antigen-4 (CTLA-4), and multiple tumor-promoting inflammatory cytokines. We observed decreased CTLs and increased markers of T-cell exhaustion in mouse models of EGFR-driven lung cancer. PD-1 antibody blockade improved the survival of mice with EGFR-driven adenocarcinomas by enhancing effector T-cell function and lowering the levels of tumor-promoting cytokines. Expression of mutant EGFR in bronchial epithelial cells induced PD-L1, and PD-L1 expression was reduced by EGFR inhibitors in non-small cell lung cancer cell lines with activated EGFR. These data suggest that oncogenic EGFR signaling remodels the tumor microenvironment to trigger immune escape and mechanistically link treatment response to PD-1 inhibition. SIGNIFICANCE: We show that autochthonous EGFR-driven lung tumors inhibit antitumor immunity by activating the PD-1/PD-L1 pathway to suppress T-cell function and increase levels of proinflammatory cytokines. These findings indicate that EGFR functions as an oncogene through non-cell-autonomous mechanisms and raise the possibility that other oncogenes may drive immune escape.

Indexed as

Tumor EscapeAnimalsB7-H1 AntigenCarcinoma, Non-Small-Cell LungCell LineCytokinesErbB ReceptorsGene Expression Regulation, NeoplasticHumansLung NeoplasmsLymphocyte ActivationMiceMice, Inbred C57BLMice, TransgenicOncogenesProgrammed Cell Death 1 ReceptorB7-H1 AntigenCytokinesErbB ReceptorsProgrammed Cell Death 1 Receptor

Identifiers

PMID24078774
PMCPMC3864135
OpenAlexW2123918574

What OpenQuestion holds

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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.