Evidence map›Paper›PMID 28698201›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2017

Entinostat Neutralizes Myeloid-Derived Suppressor Cells and Enhances the Antitumor Effect of PD-1 Inhibition in Murine Models of Lung and Renal Cell Carcinoma.

Ashley Orillion, Ayumi Hashimoto, Nur Damayanti, Li Shen, Remi Adelaiye-Ogala, Sreevani Arisa, Sreenivasulu Chintala, Peter Ordentlich, Chingai Kao, Bennett Elzey and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06930118 (An Exploratory Study Investigating the Combination of Chidamide, Regorafenib, Plus Iparomlimab and Tuvonralimab for the Treatment of Drug-esistant and Efractory Dvanced Colorectal Cancer), which is not on this map. Cited by 259 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
259citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06930118 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

An Exploratory Study Investigating the Combination of Chidamide, Regorafenib, Plus Iparomlimab and Tuvonralimab for the Treatment of Drug-esistant and Efractory Dvanced Colorectal Cancer

TypeinterventionalSponsorShanghai Changzheng HospitalRan2025 to 2027Enrolled60ConditionsAdvanced Colorectal Cancer in the Third-line Treatment and Beyond, pMMR/MSS Advanced Colorectal CancerArmschidamide, regorafenib, and iparomlimab/tuvonralimab
3 · Its place in the literature

Who cites it

259 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  5. Entinostat plus Pembrolizumab in Patients with Metastatic NSCLC Previously Treated with Anti-PD-(L)1 Therapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
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199 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

12 authors.

Ashley OrillionGentourinary Program, Simon Cancer Center, Indiana University, Indianapolis, Indiana.
Ayumi HashimotoThe Wistar Institute, Philadelphia, Pennsylvania.
Nur DamayantiGentourinary Program, Simon Cancer Center, Indiana University, Indianapolis, Indiana.
Li ShenDepartment of Medicine, Roswell Park Cancer Institute, Buffalo, New York.
Remi Adelaiye-OgalaGentourinary Program, Simon Cancer Center, Indiana University, Indianapolis, Indiana.
Sreevani ArisaGentourinary Program, Simon Cancer Center, Indiana University, Indianapolis, Indiana.
Sreenivasulu ChintalaGentourinary Program, Simon Cancer Center, Indiana University, Indianapolis, Indiana.
Peter OrdentlichSyndax Pharmaceuticals, Inc., New York, New York.
Chingai KaoDepartment of Urology, Indiana University, Indianapolis, Indiana.
Bennett ElzeyDepartment of Urology, Indiana University, Indianapolis, Indiana.
Dmitry GabrilovichThe Wistar Institute, Philadelphia, Pennsylvania. rpili@iu.edu dgabrilovich@wistar.org.
Roberto PiliGentourinary Program, Simon Cancer Center, Indiana University, Indianapolis, Indiana. rpili@iu.edu dgabrilovich@wistar.org.

Funding

Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
NCI NIH HHS P30 CA010815
6 · The paper itself

Abstract

purposeRecent advances in immunotherapy highlight the antitumor effects of immune checkpoint inhibition despite a relatively limited subset of patients receiving clinical benefit. The selective class I histone deacetylase inhibitor entinostat has been reported to have immunomodulatory activity including targeting of immune suppressor cells in the tumor microenvironment. Thus, we decided to assess whether entinostat could enhance anti-PD-1 treatment and investigate those alterations in the immunosuppressive tumor microenvironment that contribute to the combined antitumor activity. EXPERIMENTAL

designWe utilized syngeneic mouse models of lung (LLC) and renal cell (RENCA) carcinoma and assessed immune correlates, tumor growth, and survival following treatment with entinostat (5 or 10 mg/kg, p.o.) and a PD-1 inhibitor (10 and 20 mg/kg, s.c.).

resultsEntinostat enhanced the antitumor effect of PD-1 inhibition in two syngeneic mouse tumor models by reducing tumor growth and increasing survival. Entinostat inhibited the immunosuppressive function of both polymorphonuclear (PMN)- and monocytic-myeloid derived suppressor cell (M-MDSC) populations. Analysis of MDSC response to entinostat revealed significantly reduced arginase-1, iNOS, and COX-2 levels, suggesting potential mechanisms for the altered function. We also observed significant alterations in cytokine/chemokine release in vivo with a shift toward a tumor-suppressive microenvironment.

conclusionsOur results demonstrate that entinostat enhances the antitumor effect of PD-1 targeting through functional inhibition of MDSCs and a transition away from an immune-suppressive tumor microenvironment. These data provide a mechanistic rationale for the clinical testing and potential markers of response of this novel combination in solid tumor patients.

Indexed as

AnimalsBenzamidesCarcinoma, Non-Small-Cell LungCarcinoma, Renal CellDisease Models, AnimalHistone Deacetylase InhibitorsHumansImmune ToleranceImmunotherapyMiceMyeloid-Derived Suppressor CellsProgrammed Cell Death 1 ReceptorPyridinesTumor MicroenvironmentBenzamidesentinostatHistone Deacetylase InhibitorsPdcd1 protein, mouseProgrammed Cell Death 1 ReceptorPyridines

Identifiers

PMID28698201
PMCPMC5723438

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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.