Evidence map›Paper›PMID 27145382›Full record

ArticleStem cells (Dayton, Ohio)2016

Cancer Stem Cell-Secreted Macrophage Migration Inhibitory Factor Stimulates Myeloid Derived Suppressor Cell Function and Facilitates Glioblastoma Immune Evasion.

Balint Otvos, Daniel J Silver, Erin E Mulkearns-Hubert, Alvaro G Alvarado, Soumya M Turaga, Mia D Sorensen, Patricia Rayman, William A Flavahan, James S Hale, Kevin Stoltz and 12 more

Open access · greenAbstract read
In one paragraph

Article in Stem cells (Dayton, Ohio), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 166 papers.

0numbers the graph read from it
0cells of the map it votes in
166citing papers in PubMed
11.0field-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.

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

166 citing papers in PubMed, 250 citations in OpenAlex.

  1. Inflammasomes in glioblastoma.Journal of neuroinflammation · 2026
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  14. Blocking MIF secretion enhances CAR T-cell efficacy against neuroblastoma.European journal of cancer (Oxford, England : 1990) · 2025
    Article
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  16. Article
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106 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

22 authors at 5 institutions in 2 countries.

Balint OtvosDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Daniel J SilverDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Erin E Mulkearns-HubertDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Alvaro G AlvaradoDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Soumya M TuragaDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Mia D SorensenDepartment of Pathology, Odense University Hospital, Odense, Denmark.
Patricia RaymanDepartment of Immunology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
William A FlavahanDepartment of Stem Cell Biology and Regenerative Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
James S HaleDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Kevin StoltzDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Maksim SinyukDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Qiulian WuDepartment of Stem Cell Biology and Regenerative Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Awad JarrarDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Sung-Hak KimDepartment of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama, 35294, USA.
Paul L FoxDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Ichiro NakanoDepartment of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama, 35294, USA.
Jeremy N RichDepartment of Stem Cell Biology and Regenerative Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Richard M RansohoffDepartment of Neurosciences, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
James FinkeDepartment of Immunology, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Bjarne W KristensenDepartment of Pathology, Odense University Hospital, Odense, Denmark.
Michael A VogelbaumRose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Justin D LathiaDepartment of Cellular and Molecular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, 44195, USA.
Cleveland Clinic Lerner College of Medicine · USCase Western Reserve University · USUniversity of Alabama at Birmingham · USOdense University Hospital · DKUniversity of Southern Denmark · DK

Funding

Sunitinib Modulation of Cancer ImmunotherapyR01CA150959 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI COHEN, PETER A, FINKE, JAMES H · 2010 to 2014
$2.3M
Novel adhesion mechanisms in glioblastoma stem cellsR01NS083629 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI LATHIA, JUSTIN D. · 2013 to 2017
$1.7M
Connexins and glioblastoma progressionR01NS089641 · NINDS · CLEVELAND CLINIC LERNER COM-CWRU · PI LATHIA, JUSTIN D. · 2015 to 2019
$1.7M
Microenvironmental regulation of the cancer stem cell phenotype by integrin a6R00CA157948 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI LATHIA, JUSTIN D. · 2012 to 2014
$725k
Cell-cell communication in CSC self renewal and breast cancer progressionR21CA191263 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI LATHIA, JUSTIN D., REIZES, OFER · 2015 to 2016
$379k
Microenvironmental modulation as a result of glioma therapyK99CA157948 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI LATHIA, JUSTIN D. · 2011 to 2011
$99k
NCI NIH HHS K99 CA157948NCI NIH HHS R00 CA157948NCI NIH HHS R01 CA150959NCI NIH HHS R21 CA191263NINDS NIH HHS R01 NS083629NINDS NIH HHS R01 NS089641
6 · The paper itself

Abstract

Shifting the balance away from tumor-mediated immune suppression toward tumor immune rejection is the conceptual foundation for a variety of immunotherapy efforts currently being tested. These efforts largely focus on activating antitumor immune responses but are confounded by multiple immune cell populations, including myeloid-derived suppressor cells (MDSCs), which serve to suppress immune system function. We have identified immune-suppressive MDSCs in the brains of GBM patients and found that they were in close proximity to self-renewing cancer stem cells (CSCs). MDSCs were selectively depleted using 5-flurouracil (5-FU) in a low-dose administration paradigm, which resulted in prolonged survival in a syngeneic mouse model of glioma. In coculture studies, patient-derived CSCs but not nonstem tumor cells selectively drove MDSC-mediated immune suppression. A cytokine screen revealed that CSCs secreted multiple factors that promoted this activity, including macrophage migration inhibitory factor (MIF), which was produced at high levels by CSCs. Addition of MIF increased production of the immune-suppressive enzyme arginase-1 in MDSCs in a CXCR2-dependent manner, whereas blocking MIF reduced arginase-1 production. Similarly to 5-FU, targeting tumor-derived MIF conferred a survival advantage to tumor-bearing animals and increased the cytotoxic T cell response within the tumor. Importantly, tumor cell proliferation, survival, and self-renewal were not impacted by MIF reduction, demonstrating that MIF is primarily an indirect promoter of GBM progression, working to suppress immune rejection by activating and protecting immune suppressive MDSCs within the GBM tumor microenvironment. Stem Cells 2016;34:2026-2039.

Indexed as

Immune EvasionAnimalsArginaseBrain NeoplasmsCarcinogenesisCell Line, TumorCell SurvivalCulture Media, ConditionedFemaleGlioblastomaHumansMacrophage Migration-Inhibitory FactorsMice, Inbred C57BLMice, NudeMyeloid-Derived Suppressor CellsNeoplastic Stem CellsARG1 protein, humanArginaseCulture Media, ConditionedMacrophage Migration-Inhibitory FactorsCancer stem cellsGlioblastomaImmunotherapyMacrophage migration inhibitory factorMIFMyeloid-derived suppressor cellsTumor immune suppressionTumor microenvironment

Identifiers

PMID27145382
PMCPMC5820763
OpenAlexW2346941018

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.