Evidence map›Paper›PMID 30547218›Full record

ArticleCancer immunology, immunotherapy : CII2019

Enhanced anti-tumor efficacy of checkpoint inhibitors in combination with the histone deacetylase inhibitor Belinostat in a murine hepatocellular carcinoma model.

Diana Llopiz, Marta Ruiz, Lorea Villanueva, Tamara Iglesias, Leyre Silva, Josune Egea, Juan J Lasarte, Perrine Pivette, Véronique Trochon-Joseph, Bérangère Vasseur and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

98 citing papers in PubMed, 1 synthesis or guideline pooled it, 136 citations in OpenAlex.

  1. Pooled it
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  12. Hepatocellular carcinoma: signaling pathways and therapeutic advances.Signal transduction and targeted therapy · 2025
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38 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

13 authors at 3 institutions in 3 countries.

Diana LlopizCenter for Applied Medical Research (CIMA), Program of Immunology and Immunotherapy, University of Navarra, Pío XII 55, 31008, Pamplona, Spain.
Marta RuizCenter for Applied Medical Research (CIMA), Program of Immunology and Immunotherapy, University of Navarra, Pío XII 55, 31008, Pamplona, Spain.
Lorea VillanuevaCenter for Applied Medical Research (CIMA), Program of Immunology and Immunotherapy, University of Navarra, Pío XII 55, 31008, Pamplona, Spain.
Tamara IglesiasCenter for Applied Medical Research (CIMA), Program of Immunology and Immunotherapy, University of Navarra, Pío XII 55, 31008, Pamplona, Spain.
Leyre SilvaCenter for Applied Medical Research (CIMA), Program of Immunology and Immunotherapy, University of Navarra, Pío XII 55, 31008, Pamplona, Spain.
Josune EgeaCenter for Applied Medical Research (CIMA), Program of Immunology and Immunotherapy, University of Navarra, Pío XII 55, 31008, Pamplona, Spain.
Juan J LasarteCenter for Applied Medical Research (CIMA), Program of Immunology and Immunotherapy, University of Navarra, Pío XII 55, 31008, Pamplona, Spain.ORCID http://orcid.org/0000-0003-1641-3881
Perrine PivetteOnxeo, Paris, France.
Véronique Trochon-JosephOnxeo, Paris, France.
Bérangère VasseurOnxeo, Paris, France.
Graham DixonOnxeo, Paris, France.
Bruno SangroIdiSNA, Instituto de Investigación Sanitaria de Navarra, Pamplona, Spain.ORCID http://orcid.org/0000-0002-4177-6417
Pablo SarobeCenter for Applied Medical Research (CIMA), Program of Immunology and Immunotherapy, University of Navarra, Pío XII 55, 31008, Pamplona, Spain. psarobe@unav.es.ORCID http://orcid.org/0000-0003-0503-7905
Navarre Institute of Health Research · ESOnxeo (France) · FRActive Biotech (Sweden) · SE

Funding

EC Seventh Framework Programme () 602893Fundación Bancaria La Caixa Hepacare ProjectHorizon 2020 Framework Programme AC16/00165Ministerio de Economia y Competitividad/Instituto de Salud Carlos III PI14/00343Ministerio de Economia y Competitividad/Instituto de Salud Carlos III PI16/01845Ministerio de Economia y Competitividad/Instituto de Salud Carlos III PI17/00249
6 · The paper itself

Abstract

Immune checkpoint inhibitors are currently tested in different combinations in patients with advanced hepatocellular carcinoma (HCC). Nivolumab, an anti-PD-1 agent, has gained approval in the second-line setting in the USA. Epigenetic drugs have immune-mediated antitumor effects that may improve the activity of immunotherapy agents. Our aim was to study the therapeutic efficacy of checkpoint inhibitors (anti-CTLA-4 and anti-PD-1 antibodies) in combination with the histone deacetylase inhibitor (HDACi) Belinostat. In a subcutaneous Hepa129 murine HCC model, we demonstrated that Belinostat improves the antitumor activity of anti-CTLA-4 but not of anti-PD-1 therapy. This effect correlated with enhanced IFN-γ production by antitumor T-cells and a decrease in regulatory T-cells. Moreover, the combination induced early upregulation of PD-L1 on tumor antigen-presenting cells and late expression of PD-1 on tumor-infiltrating effector T-cells, suggesting the suitability of PD-1 blockade. Indeed, Belinostat combined with the simultaneous blockade of CTLA-4 and PD-1 led to complete tumor rejection. These results provide a rationale for testing Belinostat in combination with checkpoint inhibitors to enhance their therapeutic activity in patients with HCC.

Indexed as

AnimalsCarcinoma, HepatocellularCell Line, TumorCTLA-4 AntigenDisease Models, AnimalDrug Therapy, CombinationFemaleHistone Deacetylase InhibitorsHumansHydroxamic AcidsLiver Neoplasms, ExperimentalMacrophagesMiceMice, Inbred C3HProgrammed Cell Death 1 ReceptorSulfonamidesbelinostatCTLA-4 AntigenHistone Deacetylase InhibitorsHydroxamic AcidsProgrammed Cell Death 1 ReceptorSulfonamidesCheckpoint inhibitorsHDAC inhibitorHepatocellular carcinomaM1 macrophagesPD-1/PD-L1 expressionT regulatory cells

Identifiers

PMID30547218
PMCPMC11028337
OpenAlexW2904202744

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.