Evidence map›Paper›PMID 30563829›Full record

Trial reportCancer immunology research2019

Rapamycin Prevents Surgery-Induced Immune Dysfunction in Patients with Bladder Cancer.

Robert S Svatek, Niannian Ji, Essel de Leon, Neelam Z Mukherjee, Aashish Kabra, Vincent Hurez, Marlo Nicolas, Joel E Michalek, Martin Javors, Karen Wheeler and 5 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer immunology research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

20 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
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

15 authors at 4 institutions in 1 country.

Robert S SvatekExperimental Developmental Therapeutics (EDT) Program, UT Health MD Anderson, San Antonio, Texas. svatek@uthscsa.edu curielt@uthscsa.edu.
Niannian JiExperimental Developmental Therapeutics (EDT) Program, UT Health MD Anderson, San Antonio, Texas.
Essel de LeonDepartment of Pathology, UT Health San Antonio, San Antonio, Texas.
Neelam Z MukherjeeExperimental Developmental Therapeutics (EDT) Program, UT Health MD Anderson, San Antonio, Texas.
Aashish KabraDepartment of Urology, UT Health San Antonio, San Antonio, Texas.
Vincent HurezExperimental Developmental Therapeutics (EDT) Program, UT Health MD Anderson, San Antonio, Texas.
Marlo NicolasDepartment of Pathology, UT Health San Antonio, San Antonio, Texas.
Joel E MichalekDepartment of Epidemiology and Biostatistics, UT Health San Antonio, San Antonio, Texas.
Martin JavorsDepartment of Psychiatry, UT Health San Antonio, San Antonio, Texas.
Karen WheelerExperimental Developmental Therapeutics (EDT) Program, UT Health MD Anderson, San Antonio, Texas.
Z Dave SharpThe Population Science and Prevention (PSP) Program, Mays Cancer Center at UT Health MD Anderson, San Antonio, Texas.
Carolina B LiviDepartment of Molecular Medicine, UT Health San Antonio, San Antonio, Texas.
Zhen-Ju ShuExperimental Developmental Therapeutics (EDT) Program, UT Health MD Anderson, San Antonio, Texas.
David HenkesDepartment of Pathology, CHRISTUS Santa Rosa Medical Center, San Antonio, Texas.
Tyler J CurielExperimental Developmental Therapeutics (EDT) Program, UT Health MD Anderson, San Antonio, Texas. svatek@uthscsa.edu curielt@uthscsa.edu.
The University of Texas Health Science Center at San Antonio · USAgilent Technologies (United States) · USChristus Santa Rosa Health System · USOpexa Therapeutics (United States) · US

Funding

TISSUE CULTURE---COREP30CA054174 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Lei Zheng · 1991 to 2026
$59.1M
TRANSGENIC COREP30AG013319 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI JAMES FLOYD NELSON · 1995 to 2026
$30.6M
San Antonio OAIC - Research Education Component (REC)P30AG044271 · NIA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Adam Salmon, Elena Volpi · 2015 to 2026
$14.1M
Delaying intestinal cancerR01CA193835 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI SHARP, ZELTON DAVE · 2016 to 2020
$1.7M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthKL2TR000118 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A · 2012 to 2013
$757k
Improving immunotherapy in bladder cancer by targeting immune dysfunctionK23CA178204 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI SVATEK, ROBERT SCOTT · 2014 to 2017
$674k
NCATS NIH HHS KL2 TR000118NCI NIH HHS K23 CA178204NCI NIH HHS P30 CA054174NCI NIH HHS R01 CA193835NIA NIH HHS P30 AG013319NIA NIH HHS P30 AG044271
6 · The paper itself

Abstract

The mechanistic target of rapamycin (mTOR) integrates environmental inputs to regulate cellular growth and metabolism in tumors. However, mTOR also regulates T-cell differentiation and activation, rendering applications of mTOR inhibitors toward treating cancer complex. Preclinical data support distinct biphasic effects of rapamycin, with higher doses directly suppressing tumor cell growth and lower doses enhancing T-cell immunity. To address the translational relevance of these findings, the effects of the mTOR complex 1 (mTORC1) inhibitor, rapamycin, on tumor and T cells were monitored in patients undergoing cystectomy for bladder cancer. MB49 syngeneic murine bladder cancer models were tested to gain mechanistic insights. Surgery-induced T-cell exhaustion in humans and mice and was associated with increased pulmonary metastasis and decreased PD-L1 antibody efficacy in mouse bladder cancer. At 3 mg orally daily, rapamycin concentrations were 2-fold higher in bladder tissues than in blood. Rapamycin significantly inhibited tumor mTORC1, shown by decreased rpS6 phosphorylation in treated versus control patients (

Indexed as

AgedAnimalsB7-H1 AntigenCell ProliferationCystectomyDisease Models, AnimalFemaleHumansMaleMechanistic Target of Rapamycin Complex 1MiceMice, Inbred C57BLPhosphorylationPostoperative ComplicationsProgrammed Cell Death 1 ReceptorRibosomal Protein S6B7-H1 AntigenMechanistic Target of Rapamycin Complex 1PDCD1 protein, humanProgrammed Cell Death 1 ReceptorRibosomal Protein S6Sirolimus

Identifiers

PMID30563829
PMCPMC6926429
OpenAlexW2904672094

What OpenQuestion holds

Textmetadata
LicenceTDM
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.