Evidence map›Paper›PMID 28931759›Full record

ArticleJCI insight2017

Combination immunotherapy with TLR agonists and checkpoint inhibitors suppresses head and neck cancer.

Fumi Sato-Kaneko, Shiyin Yao, Alast Ahmadi, Shannon S Zhang, Tadashi Hosoya, Megan M Kaneda, Judith A Varner, Minya Pu, Karen S Messer, Cristiana Guiducci and 7 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 174 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
174citing papers in PubMed, 1 pooled it
11.8field-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

174 citing papers in PubMed, 1 synthesis or guideline pooled it, 281 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Dynamics changes of spleen volume predict survival outcomes in unresectable hepatocellular carcinoma treated with tislelizumab plus lenvatinib.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  14. Targeting innate immunity to overcome immune evasion in HPV-associated cancers.Frontiers in cellular and infection microbiology · 2026
    Review
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114 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

17 authors at 3 institutions in 2 countries.

Fumi Sato-KanekoMoores Cancer Center, UCSD, La Jolla, California, USA.
Shiyin YaoMoores Cancer Center, UCSD, La Jolla, California, USA.
Alast AhmadiMoores Cancer Center, UCSD, La Jolla, California, USA.
Shannon S ZhangMoores Cancer Center, UCSD, La Jolla, California, USA.
Tadashi HosoyaMoores Cancer Center, UCSD, La Jolla, California, USA.
Megan M KanedaMoores Cancer Center, UCSD, La Jolla, California, USA.
Judith A VarnerMoores Cancer Center, UCSD, La Jolla, California, USA.
Minya PuMoores Cancer Center, UCSD, La Jolla, California, USA.
Karen S MesserMoores Cancer Center, UCSD, La Jolla, California, USA.
Cristiana GuiducciDynavax Technologies Corporation, Berkeley, California, USA.
Robert L CoffmanDynavax Technologies Corporation, Berkeley, California, USA.
Kazutaka KitauraRepertoire Genesis Inc., Saito Bioincubator, Saito-Asagai, Ibaraki-shi, Osaka, Japan.
Takaji MatsutaniRepertoire Genesis Inc., Saito Bioincubator, Saito-Asagai, Ibaraki-shi, Osaka, Japan.
Ryuji SuzukiRepertoire Genesis Inc., Saito Bioincubator, Saito-Asagai, Ibaraki-shi, Osaka, Japan.
Dennis A CarsonMoores Cancer Center, UCSD, La Jolla, California, USA.
Tomoko HayashiMoores Cancer Center, UCSD, La Jolla, California, USA.
Ezra Ew CohenMoores Cancer Center, UCSD, La Jolla, California, USA.
Moores Cancer CenterPeptide Institute (Japan) · JPDynavax Technologies (United States) · US

Funding

VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jesse Nodora · 1985 to 2026
$124.9M
Research Education CoreU54CA132379 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ARREDONDO, ELVA M, CROWE, SHEILA E. · 2008 to 2021
$16.1M
Role of PI3Kinase in Tumor Progression and MetastasisR01CA167426 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Judith A VARNER · 2012 to 2026
$5.8M
NCI NIH HHS P30 CA023100NCI NIH HHS R01 CA167426NCI NIH HHS U54 CA132379NIAID NIH HHS HHSN272201400051C
6 · The paper itself

Abstract

Checkpoint inhibitors have demonstrated efficacy in patients with recurrent or metastatic head and neck squamous cell carcinoma (HNSCC). However, the majority of patients do not benefit from these agents. To improve the efficacy of checkpoint inhibitors, intratumoral (i.t.) injection with innate immune activators, TLR7 and TLR9 agonists, were tested along with programmed death-1 receptor (PD-1) blockade. The combination therapy suppressed tumor growth at the primary injected and distant sites in human papillomavirus-negative (HPV-negative) SCC7 and MOC1, and HPV-positive MEER syngeneic mouse models. Abscopal effects and suppression of secondary challenged tumor suggest that local treatment with TLR agonists in combination with anti-PD-1 provided systemic adaptive immunity. I.t. treatment with a TLR7 agonist increased the ratio of M1 to M2 tumor-associated macrophages (TAMs) and promoted the infiltration of tumor-specific IFNγ-producing CD8+ T cells. Anti-PD-1 treatment increased T cell receptor (TCR) clonality of CD8+ T cells in tumors and spleens of treated mice. Collectively, these experiments demonstrate that combination therapy with i.t. delivery of TLR agonists and PD-1 blockade activates TAMs and induces tumor-specific adaptive immune responses, leading to suppression of primary tumor growth and prevention of metastasis in HNSCC models.

Indexed as

ImmunotherapyAnimalsCD8-Positive T-LymphocytesCell Line, TumorHead and Neck NeoplasmsHeterograftsHumansKiller Cells, NaturalMacrophagesMiceMice, Inbred C3HProgrammed Cell Death 1 ReceptorSquamous Cell Carcinoma of Head and NeckToll-Like Receptor 7Toll-Like Receptor 9Tumor MicroenvironmentProgrammed Cell Death 1 ReceptorTLR7 protein, humanTLR9 protein, humanToll-Like Receptor 7Toll-Like Receptor 9Cancer immunotherapyHead & neck cancerImmunology

Identifiers

PMID28931759
PMCPMC5621908
OpenAlexW2755073646

What OpenQuestion holds

Textmetadata
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.