Evidence map›Paper›PMID 26861670›Full record

ArticleCancer immunology, immunotherapy : CII2016

Prophylactic vaccines are potent activators of monocyte-derived dendritic cells and drive effective anti-tumor responses in melanoma patients at the cost of toxicity.

Kalijn F Bol, Erik H J G Aarntzen, Jeanette M Pots, Michel A M Olde Nordkamp, Mandy W M M van de Rakt, Nicole M Scharenborg, Annemiek J de Boer, Tom G M van Oorschot, Sandra A J Croockewit, Willeke A M Blokx and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

41 citing papers in PubMed, 65 citations in OpenAlex.

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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

20 authors at 4 institutions in 1 country.

Kalijn F BolDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Erik H J G AarntzenDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Jeanette M PotsDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Michel A M Olde NordkampDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Mandy W M M van de RaktDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Nicole M ScharenborgDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Annemiek J de BoerDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Tom G M van OorschotDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Sandra A J CroockewitDepartment of Hematology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Willeke A M BlokxDepartment of Pathology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Wim J G OyenDepartment of Radiology and Nuclear Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands.
Otto C BoermanDepartment of Radiology and Nuclear Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands.
Roel D M MusDepartment of Radiology and Nuclear Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands.
Michelle M van RossumDepartment of Dermatology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Chantal A A van der GraafDepartment of Pulmonary Diseases, Radboud University Medical Centre, Nijmegen, The Netherlands.
Cornelis J A PuntDepartment of Medical Oncology, Academic Medical Centre, Amsterdam, The Netherlands.
Gosse J AdemaDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Carl G FigdorDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
I Jolanda M de VriesDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
Gerty SchreibeltDepartment of Tumor Immunology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. Gerty.Schreibelt@radboudumc.nl.
Radboud University Nijmegen · NLRadboud University Medical Center · NLRadboud Institute for Molecular Life Sciences · NLAcademic Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dendritic cell (DC)-based immunotherapy is explored worldwide in cancer patients, predominantly with DC matured with pro-inflammatory cytokines and prostaglandin E2. We studied the safety and efficacy of vaccination with monocyte-derived DC matured with a cocktail of prophylactic vaccines that contain clinical-grade Toll-like receptor ligands (BCG, Typhim, Act-HIB) and prostaglandin E2 (VAC-DC). Stage III and IV melanoma patients were vaccinated via intranodal injection (12 patients) or combined intradermal/intravenous injection (16 patients) with VAC-DC loaded with keyhole limpet hemocyanin (KLH) and mRNA encoding tumor antigens gp100 and tyrosinase. Tumor antigen-specific T cell responses were monitored in blood and skin-test infiltrating-lymphocyte cultures. Almost all patients mounted prophylactic vaccine- or KLH-specific immune responses. Both after intranodal injection and after intradermal/intravenous injection, tumor antigen-specific immune responses were detected, which coincide with longer overall survival in stage IV melanoma patients. VAC-DC induce local and systemic CTC grade 2 and 3 toxicity, which is most likely caused by BCG in the maturation cocktail. The side effects were self-limiting or resolved upon a short period of systemic steroid therapy. We conclude that VAC-DC can induce functional tumor-specific responses. Unfortunately, toxicity observed after vaccination precludes the general application of VAC-DC, since in DC maturated with prophylactic vaccines BCG appears to be essential in the maturation cocktail.

Indexed as

AdultAgedBCG VaccineCancer VaccinesDendritic CellsDinoprostoneFemalegp100 Melanoma AntigenHemocyaninsHumansMaleMelanomaMiddle AgedMonocytesMonophenol MonooxygenaseT-LymphocytesBCG VaccineCancer VaccinesDinoprostonegp100 Melanoma AntigenHemocyaninskeyhole-limpet hemocyaninMonophenol MonooxygenaseDendritic cellsImmunotherapyMaturationMelanomaProphylactic vaccinesToll-like receptor ligands

Identifiers

PMID26861670
PMCPMC4779136
OpenAlexW2267284177

What OpenQuestion holds

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LicenceCC BY
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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.