Evidence map›Paper›PMID 27380136›Full record

ArticleBritish journal of cancer2016

Definitive chemoradiation alters the immunologic landscape and immune checkpoints in head and neck cancer.

Vishwajith Sridharan, Danielle N Margalit, Stephanie A Lynch, Mariano Severgnini, Jun Zhou, Nicole G Chau, Guilherme Rabinowits, Jochen H Lorch, Peter S Hammerman, F Stephen Hodi and 3 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% 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, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. CXCR5Nature communications · 2026
    Article
  3. Article
  4. Interferon Epsilon Loss Is Elusive 9p21 Link to Immune-Cold Tumors, Resistant to Immune Checkpoint Therapy, and Endogenous CXCL9/10 Induction.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Radiation Therapy and Myeloid-Derived Suppressor Cells: Breaking Down Their Cancerous Partnership.International journal of radiation oncology, biology, physics · 2024
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
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  18. 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

13 authors at 3 institutions in 1 country.

Vishwajith SridharanDepartment of Radiation Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Center, Boston, MA, USA.
Danielle N MargalitDepartment of Radiation Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Center, Boston, MA, USA.
Stephanie A LynchDepartment of Radiation Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Center, Boston, MA, USA.
Mariano SevergniniCenter for Immuno-oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Jun ZhouCenter for Immuno-oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Nicole G ChauDepartment of Medical Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Center, Boston, MA, USA.
Guilherme RabinowitsDepartment of Medical Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Center, Boston, MA, USA.
Jochen H LorchDepartment of Medical Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Center, Boston, MA, USA.
Peter S HammermanDepartment of Medical Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Center, Boston, MA, USA.
F Stephen HodiCenter for Immuno-oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Robert I HaddadDepartment of Medical Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Center, Boston, MA, USA.
Roy B TishlerDepartment of Radiation Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Center, Boston, MA, USA.
Jonathan D SchoenfeldDepartment of Radiation Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Center, Boston, MA, USA.
Dana-Farber Brigham Cancer Center · USBrigham and Women's Hospital · USDana-Farber Cancer Institute · US

Funding

Harvard Clinical and Translational Science CenterUL1TR001102 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$106.2M
NCATS NIH HHS UL1 TR001102
6 · The paper itself

Abstract

backgroundPreclinical and clinical studies suggest potential synergy between high dose per fraction focal radiation and immunotherapy. However, conventionally fractionated radiation regimens in combination with concurrent chemotherapy are more commonly administered to patients as definitive treatment and may have both immune-stimulating and -suppressive effects.

methodsWe prospectively collected longitudinal samples from head and neck squamous cell carcinoma patients receiving definitive radiation therapy. We quantified changes in populations of circulating immune cells and chemokines CXCL9, 10, and 16. Analyses of humoral and cellular immune responses were conducted in select patients via proteomic analysis and T-cell receptor sequencing.

resultsTreatment not only increased circulating CD-8+ T-effector cells, but also myeloid-derived suppressor cells, regulatory T cells, and checkpoint receptor-expressing T cells, particularly PD-1+ T cells. Significant decreases in CXCL10 and increases in CXLC16 were noted. Treatment also increased the percentage of unique and dominant TCR clones, and increased humoral responses as measured by proteomic array.

conclusionsOur results suggest that fractionated chemoradiation leads to quantifiable effects in circulating immune mediators, including a balance of stimulatory and suppressive mechanisms. These results suggest future combinations with immune checkpoint blockade.

Indexed as

Antibody FormationCarcinoma, Squamous CellChemoradiotherapyCytokinesFemaleHead and Neck NeoplasmsHumansImmunity, CellularMaleMiddle AgedSquamous Cell Carcinoma of Head and NeckCytokines

Identifiers

PMID27380136
PMCPMC4947695
OpenAlexW2471784719

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.