Evidence map›Paper›PMID 29573266›Full record

ArticleClinical and experimental immunology2018

Sorafenib paradoxically activates the RAS/RAF/ERK pathway in polyclonal human NK cells during expansion and thereby enhances effector functions in a dose- and time-dependent manner.

J Lohmeyer, T Nerreter, J Dotterweich, H Einsele, R Seggewiss-Bernhardt

Open access · bronzeAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

22 citing papers in PubMed, 28 citations in OpenAlex.

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  6. CombinationThyroid : official journal of the American Thyroid Association · 2023
    Article
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  9. Article
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  11. Unleashing the power of NK cells in anticancer immunotherapy.Journal of molecular medicine (Berlin, Germany) · 2022
    Review
  12. Review
  13. [Regulatory effect of molecular targeted drugs on the immune system for liver cancer].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2021
    Review
  14. 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

5 authors at 1 institution in 1 country.

J LohmeyerImmune Recovery Section, Department of Internal Medicine II, University Hospital of Würzburg, Würzburg, Germany.
T NerreterImmune Recovery Section, Department of Internal Medicine II, University Hospital of Würzburg, Würzburg, Germany.ORCID 0000-0002-0493-1369
J DotterweichImmune Recovery Section, Department of Internal Medicine II, University Hospital of Würzburg, Würzburg, Germany.
H EinseleImmune Recovery Section, Department of Internal Medicine II, University Hospital of Würzburg, Würzburg, Germany.
R Seggewiss-BernhardtImmune Recovery Section, Department of Internal Medicine II, University Hospital of Würzburg, Würzburg, Germany.
Universitätsklinikum Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Natural killer (NK) cells play a major role in host immunity against leukaemia and lymphoma. However, clinical trials applying NK cells have not been as efficient as hoped for. Patients treated with rapidly accelerated fibrosarcoma (RAF) inhibitors exhibit increased tumour infiltration by immune cells, suggesting that a combination of RAF inhibitors with immunotherapy might be beneficial. As mitogen-activated protein kinases (MAPKs) such as raf-1 proto-oncogene, serine/threonine kinase (CRAF) regulate NK cell functions, we performed an in-vitro investigation on the potential of clinically relevant short-acting tyrosine kinase inhibitors (TKIs) as potential adjuvants for NK cell therapy: NK cells from healthy human blood donors were thus treated with sorafenib, sunitinib or the pan-RAF inhibitor ZM336372 during ex-vivo expansion. Functional outcomes assessed after washout of the drugs included cytokine production, degranulation, cytotoxicity, apoptosis induction and signal transduction with/without target cell contact. Paradoxically, sorafenib enhanced NK cell effector functions in a time- and dose-dependent manner by raising the steady-state activation level. Of note, this did not lead to NK cell exhaustion, but enhanced activity against target cells such as K562 or Daudis mediated via the RAS/RAF/extracellular-regulated kinase (ERK) pathway, but not via protein kinase B (AKT). Our data will pave the path to develop a rationale for the considered use of RAF inhibitors such as sorafenib for pre-activation in NK cell-based adoptive immune therapy.

Indexed as

ApoptosisBenzamidesCell DegranulationCell LineCytokinesExtracellular Signal-Regulated MAP KinasesHumansKiller Cells, NaturalProtein Kinase InhibitorsProto-Oncogene MasProto-Oncogene Proteins c-aktraf Kinasesras ProteinsSignal TransductionSorafenibSunitinibBenzamidesCytokinesExtracellular Signal-Regulated MAP KinasesMAS1 protein, humanN-(5-(3-dimethylaminobenzamido)-2-methylphenyl)-4-hydroxybenzamideProtein Kinase InhibitorsProto-Oncogene MasProto-Oncogene Proteins c-aktraf Kinasesras ProteinsSorafenibSunitinibimmunotherapyNK cellstyrosine kinase inhibitorZM336372

Identifiers

PMID29573266
PMCPMC6038007
OpenAlexW2793716634

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.