Evidence map›Paper›PMID 24778280›Full record

Trial reportCancer immunology research2014

CD4 T cells require ICOS-mediated PI3K signaling to increase T-Bet expression in the setting of anti-CTLA-4 therapy.

Hong Chen, Tihui Fu, Woong-Kyung Suh, Dimitra Tsavachidou, Sijin Wen, Jianjun Gao, Derek Ng Tang, Qiuming He, Jingjing Sun, Padmanee Sharma

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Cancer immunology research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

36 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
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  7. PD-1 expressing islet-specific CD4Immunology and cell biology · 2025
    Article
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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 4 institutions in 2 countries.

Hong ChenAuthors' Affiliations: IRCM (Institut de recherches cliniques de Montreal) and Department of Medicine, University of Montreal, Montreal, Quebec, Canada.
Tihui Fu
Woong-Kyung Suh
Dimitra Tsavachidou
Sijin Wen
Jianjun Gao
Derek Ng Tang
Qiuming He
Jingjing Sun
Padmanee Sharma
The University of Texas MD Anderson Cancer Center · USWest Virginia University · USMontreal Clinical Research Institute · CAUniversité de Montréal · CA

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
TRAINING FOR ACADEMIC ONCOLOGY/HEMATOLOGYT32CA009666 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Michael Davies, Courtney DiNardo · 1994 to 2026
$9.8M
Targeting the ICOS/ICOSL pathway to improve anti-tumor immune responsesR01CA163793 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI SHARMA, PADMANEE · 2012 to 2016
$1.6M
NCI NIH HHS CA1633793-01NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA163793NCI NIH HHS T32 CA009666
6 · The paper itself

Abstract

The transcription factor T-bet controls the Th1 genetic program in T cells for effective antitumor responses. Anti-CTLA-4 immunotherapy elicits dramatic antitumor responses in mice and in human patients; however, factors that regulate T-bet expression during an antitumor response mediated by anti-CTLA-4 remain to be elucidated. We were the first to report that treatment with anti-CTLA-4 led to an increase in the frequency of T cells expressing inducible costimulator (ICOS). In both treated patients and mice, our data revealed that CD4(+)ICOS(hi) T cells can act as effector T cells, which produce the Th1 cytokine IFN-γ. We also showed in a small retrospective analysis that an increased frequency of CD4(+)ICOS(hi) T cells correlated with better clinical outcome and the absence of ICOS or its ligand (ICOSL) in mouse models led to impaired tumor rejection. Here, we show that CD4(+)ICOS(hi) T cells from anti-CTLA-4-treated patients had an increase in signaling via the phospoinositide-3-kinase (PI3K) pathway and an increase in expression of T-bet. An ICOS-specific siRNA transfected into human T cells led to diminished PI3K signaling and T-bet expression. Therefore, we hypothesized that ICOS, and specifically ICOS-mediated PI3K signaling, was required for T-bet expression. We conducted studies in ICOS-deficient and ICOS-YF mice, which have a single amino acid change that abrogates PI3K signaling by ICOS. We found that ICOS-mediated PI3K signaling is required for T-bet expression during an antitumor response elicited by anti-CTLA-4 therapy. Our data provide new insight into the regulation of T-bet expression and suggest that ICOS can be targeted to improve Th1 antitumor responses.

Indexed as

AnimalsAntibodies, MonoclonalAntineoplastic AgentsCarcinoma, Transitional CellCD4-Positive T-LymphocytesCTLA-4 AntigenCytokinesHumansImmunotherapyInducible T-Cell Co-Stimulator LigandIpilimumabMelanomaMice, Inbred C57BLMice, KnockoutNeoplasm TransplantationPhosphatidylinositol 3-KinasesAntibodies, MonoclonalAntineoplastic AgentsCTLA-4 AntigenCytokinesICOSLG protein, humanInducible T-Cell Co-Stimulator LigandIpilimumabPhosphatidylinositol 3-KinasesRNA, Small InterferingT-bet Transcription FactorT-Box Domain Proteins

Identifiers

PMID24778280
PMCPMC4004958
OpenAlexW2102986151

What OpenQuestion holds

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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.