Evidence map›Paper›PMID 30266096›Full record

ArticleEuropean journal of medical research2018

Ingenol mebutate induces a tumor cell-directed inflammatory response and antimicrobial peptides thereby promoting rapid tumor destruction and wound healing.

Stephan Alexander Braun, Julia Baran, Holger Schrumpf, Bettina Alexandra Buhren, Edwin Bölke, Bernhard Homey, Peter Arne Gerber

Open access · goldAbstract read
In one paragraph

Article in European journal of medical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

7 citing papers in PubMed, 7 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Stephan Alexander BraunDepartment of Dermatology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Julia BaranDepartment of Dermatology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Holger SchrumpfDepartment of Dermatology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Bettina Alexandra BuhrenDepartment of Dermatology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Edwin BölkeDepartment of Radiation Oncology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Bernhard HomeyDepartment of Dermatology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Peter Arne GerberDepartment of Dermatology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany. peterarne.gerber@med.uni-duesseldorf.de.
Heinrich Heine University Düsseldorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIngenol mebutat (IM)-gel is effective for the topical treatment of epithelial tumors, including actinic keratoses (AKs) or anogenital warts (AGW). AK patients treated with IM develop intensified inflammatory reactions on sights of prior clinical visible or palpable AKs as compared to the surrounding actinically damaged skin, suggesting the induction of a tumor cell-directed inflammation. AGW patients treated with IM develop even stronger inflammatory reactions with large erosions, suggesting a directed inflammatory response against HPV-infected keratinocytes. Of note, even widespread erosions heal very fast without any superinfections. Here, we set out to elucidate underlying molecular and cellular mechanisms of these clinical observations.

methodsThe effects of IM (10

resultsIngenol mebutat significantly and dose-dependently induced the expression of proinflammatory chemokines (CXCL8, CCL2) and AMP (RNase7, HBD3) in HEK and epithelial cancer cell lines. A significantly stronger induction of CXCL8 and CCL2 was observed in our tested tumor cells as compared to HEK. We did not observe any significant effect of IM on HEK migration, respectively wound healing responses in vitro for any tested concentration (10

conclusionsOur data suggest that tumor cells are more susceptible to IM as compared to differentiated HEK. This is evident by a stronger IM-mediated induction of proinflammatory chemokines in tumor cells, which may result in a tumor cell-directed inflammatory response and rapid tumor destruction. In addition, IM induces AMP in keratinocytes and seems not to severely interfere with keratinocyte migration, which contributes to a fast and uncomplicated wound healing. Surprising is a selective inhibition of keratinocyte migration by IM at the concentration of 10

Indexed as

Administration, TopicalAntimicrobial Cationic PeptidesCell Line, TumorCell MovementCell ProliferationChemokinesCondylomata AcuminataDiterpenesGene Expression RegulationHEK293 CellsHumansInflammationKeratinocytesKeratosis, ActinicNeoplasmsPapillomaviridae3-ingenyl angelateAntimicrobial Cationic PeptidesChemokinesDiterpenesActinic keratosisAnogenital wartsChemokinesCondylomata acuminataIL-8Scratch assay

Identifiers

PMID30266096
PMCPMC6161468
OpenAlexW2892679153

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Registered trials

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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.