Evidence map›Paper›PMID 29686425›Full record

ReviewNature medicine2018

Understanding the tumor immune microenvironment (TIME) for effective therapy.

Mikhail Binnewies, Edward W Roberts, Kelly Kersten, Vincent Chan, Douglas F Fearon, Miriam Merad, Lisa M Coussens, Dmitry I Gabrilovich, Suzanne Ostrand-Rosenberg, Catherine C Hedrick and 8 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Nature medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07281716 (A Phase 1b/2 Study of Combination Immunotherapy for the Treatment of Chemotherapy-refractory Metastatic Microsatellite Stable), which is not on this map. Cited by 3,844 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3,844citing papers in PubMed, 2 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.

NCT07281716 phase1 / phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Phase 1b/2 Study of Combination Immunotherapy for the Treatment of Chemotherapy-refractory Metastatic Microsatellite Stable (MSS) Colorectal Cancer (CRC)

TypeinterventionalSponsorDan FengRan2025 to 2028Enrolled24ConditionsMetastatic Microsatellite Stable Colorectal CarcinomaArmsNadunolimab, Toripalimab
3 · Its place in the literature

Who cites it

3,844 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. CXCL13-expressing CD4Oncoimmunology · 2026
    Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. MACC1 in colorectal cancer: a claim-level evidence audit from metastasis driver to proposed microenvironmental regulator.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  20. Article

3,784 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

18 authors.

Mikhail BinnewiesDepartment of Pathology, University of California, San Francisco, San Francisco, CA, USA.
Edward W RobertsDepartment of Pathology, University of California, San Francisco, San Francisco, CA, USA.
Kelly KerstenDepartment of Pathology, University of California, San Francisco, San Francisco, CA, USA.
Vincent ChanUCSF Immunoprofiler Initiative, University of California, San Francisco, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-0823-6726
Douglas F FearonCold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.
Miriam MeradPrecision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Lisa M CoussensDepartment of Cell, Developmental & Cancer Biology, Oregon Health and Science University, Portland, OR, USA.
Dmitry I GabrilovichThe Wistar Institute, Philadelphia, PA, USA.
Suzanne Ostrand-RosenbergDepartment of Biological Sciences, University of Maryland Baltimore County, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-2095-9732
Catherine C HedrickDivision of Inflammation Biology, La Jolla Institute for Allergy and Immunology, La Jolla, CA, USA.
Robert H VonderheideDepartment of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.
Mikael J PittetCenter for Systems Biology, Massachusetts General Hospital, Boston, MA, USA.
Rakesh K JainEdwin L. Steele Laboratories for Tumor Biology, Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Weiping ZouDepartment of Surgery, University of Michigan School of Medicine, Ann Arbor, MI, USA.
T Kevin HowcroftDivision of Cancer Biology, NCI, NIH, Bethesda, MD, USA.
Elisa C WoodhouseDivision of Cancer Biology, NCI, NIH, Bethesda, MD, USA.
Robert A WeinbergWhitehead Institute for Biomedical Research, Cambridge, MA, USA. weinberg@wi.mit.edu.
Matthew F KrummelDepartment of Pathology, University of California, San Francisco, San Francisco, CA, USA. matthew.krummel@ucsf.edu.ORCID http://orcid.org/0000-0001-7915-3533

Funding

Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
Vascular Normalization: Rolse of Perivascular CellsP01CA080124 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, RAKESH K. · 2000 to 2016
$35.0M
PREDOCTORAL TRAINING IN DEVELOPMENTAL BIOLOGYT32HD007470 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Todd Nystul · 1994 to 2026
$7.7M
Dissecting Pediatric Brain Tumor Microenvironment to Improve TreatmentR35CA197743 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI JAIN, RAKESH K. · 2015 to 2020
$5.7M
Immune Impact on Cancer ChemoresistanceR01CA211016 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZOU, WEIPING · 2017 to 2021
$3.0M
Functions of Nonclassical Monocytes in the VasculatureR01CA202987 · NCI · LA JOLLA INSTITUTE FOR IMMUNOLOGY · PI HEDRICK, CATHERINE C · 2016 to 2020
$2.2M
Reengineering obesity-induced abnormal microenvironment to improve PDAC treatmentR01CA208205 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI FUKUMURA, DAI, JAIN, RAKESH K. · 2017 to 2020
$2.2M
Manipulating collectivity and Niches for Developing CD8 ImmunityR01AI114787 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KRUMMEL, MATTHEW F · 2015 to 2019
$2.2M
Contribution of the cutaneous APC network to melanoma progression and therapy.R01CA173861 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MERAD, MIRIAM · 2013 to 2017
$2.1M
Harnessing Csf-2 compartmentalized role on tissue resident phagocytes to uncouple anti-tumoral from pathological immunity induced by checkpoint inhibitorsR01CA190400 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MERAD, MIRIAM · 2015 to 2019
$1.9M
Imaging tumor associated macrophage (TAM) functionR01CA206890 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI PITTET, MIKAEL, WEISSLEDER, MD, PHD, RALPH · 2017 to 2021
$1.9M
NCI NIH HHS P01 CA080124NCI NIH HHS P30 CA010815NCI NIH HHS R01 CA173861NCI NIH HHS R01 CA190400NCI NIH HHS R01 CA202987NCI NIH HHS R01 CA206890NCI NIH HHS R01 CA208205NCI NIH HHS R01 CA211016NCI NIH HHS R35 CA197743NIAID NIH HHS R01 AI114787NICHD NIH HHS T32 HD007470
6 · The paper itself

Abstract

The clinical successes in immunotherapy have been both astounding and at the same time unsatisfactory. Countless patients with varied tumor types have seen pronounced clinical response with immunotherapeutic intervention; however, many more patients have experienced minimal or no clinical benefit when provided the same treatment. As technology has advanced, so has the understanding of the complexity and diversity of the immune context of the tumor microenvironment and its influence on response to therapy. It has been possible to identify different subclasses of immune environment that have an influence on tumor initiation and response and therapy; by parsing the unique classes and subclasses of tumor immune microenvironment (TIME) that exist within a patient's tumor, the ability to predict and guide immunotherapeutic responsiveness will improve, and new therapeutic targets will be revealed.

Indexed as

ImmunotherapyGenotypeHumansNeoplasm MetastasisNeoplasmsPhenotypeTumor Microenvironment

Identifiers

PMID29686425
PMCPMC5998822

What OpenQuestion holds

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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.