Evidence map›Paper›PMID 30568030›Full record

ArticleJCI insight2018

Tumor-specific MHC-II expression drives a unique pattern of resistance to immunotherapy via LAG-3/FCRL6 engagement.

Douglas B Johnson, Mellissa J Nixon, Yu Wang, Daniel Y Wang, Emily Castellanos, Monica V Estrada, Paula I Ericsson-Gonzalez, Candace H Cote, Roberto Salgado, Violeta Sanchez and 14 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed
5.8field-weighted citation impact, top 2% 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

107 citing papers in PubMed, 157 citations in OpenAlex.

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  18. Emerging Immunotherapy Targets in Early Drug Development.International journal of molecular sciences · 2025
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47 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

24 authors at 9 institutions in 4 countries.

Douglas B JohnsonDepartment of Medicine and.
Mellissa J NixonDepartment of Medicine and.
Yu WangDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Daniel Y WangDepartment of Medicine and.
Emily CastellanosDepartment of Medicine and.
Monica V EstradaDepartment of Pathology, University of California, San Diego, San Diego, California, USA.
Paula I Ericsson-GonzalezDepartment of Pathology Microbiology, and Immunology, and.
Candace H CoteDepartment of Medicine and.
Roberto SalgadoDepartment of Pathology, GZA-ZNA Hospitals, Antwerp, Belgium.
Violeta SanchezDepartment of Pathology Microbiology, and Immunology, and.
Phillip T DeanDepartment of Medicine and.
Susan R OpalenikDepartment of Medicine and.
Daniel M SchreederClearview Cancer Institute, Huntsville, Alabama, USA.
David L RimmDepartments of Pathology and Medicine, Yale University, New Haven, Connecticut, USA.
Ju Young KimNavigate BioPharma Services Inc., a Novartis Company, Carlsbad, California, USA.
Jennifer BordeauxNavigate BioPharma Services Inc., a Novartis Company, Carlsbad, California, USA.
Sherene LoiDepartment of Oncology, University of Melbourne and Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Leora HornDepartment of Medicine and.
Melinda E SandersDepartment of Pathology Microbiology, and Immunology, and.
P Brent FerrellDepartment of Medicine and.
Yaomin XuDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jeffrey A SosmanDepartment of Medicine, Northwestern University, Chicago, Illinois, USA.
Randall S DavisDepartments of Medicine, Microbiology, and Biochemistry and Molecular Genetics, University of Alabama, Birmingham, Alabama, USA.
Justin M BalkoDepartment of Medicine and.
Bipar · FRVanderbilt University Medical Center · USLineage Cell Therapeutics (United States) · USPeter MacCallum Cancer Centre · AUClearview Cancer Institute · USNorthwestern University · USUniversity of Alabama at Birmingham · USUniversity of California San Diego · USYale University · US

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
Virology CoreP30AI027767 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI OLAF KUTSCH · 1988 to 2026
$84.1M
TISSUE CoreP50CA098131 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PARK, BEN HO, PIETENPOL, JENNIFER A · 2003 to 2024
$48.7M
Vanderbilt Clinical Oncology Research Career Development ProgramK12CA090625 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Debra L. Friedman, Paula Jill Hurley · 2001 to 2026
$16.9M
Investigating the role of the JAK/STAT3 Pathway in Clonal Proliferation and Immune Dysfunction in Myelodysplastic SyndromeK23HL138291 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI FERRELL, PAUL B · 2017 to 2021
$817k
Predicting and profiling long-term survival after immune checkpoint inhibitionK23CA204726 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI JOHNSON, DOUGLAS B · 2016 to 2020
$756k
Dusp4 in breast cancer: tumor suppressor biology and therapeutic strategiesR00CA181491 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BALKO, JUSTIN M · 2015 to 2017
$750k
Modeling FCRL6 regulation and function in transgenic miceR21AI097729 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DAVIS, RANDALL S · 2012 to 2013
$392k
NCI NIH HHS K12 CA090625NCI NIH HHS K23 CA204726NCI NIH HHS P30 CA013148NCI NIH HHS P30 CA068485NCI NIH HHS P50 CA098131NCI NIH HHS R00 CA181491NHLBI NIH HHS K23 HL138291NHLBI NIH HHS L30 HL139435NIAID NIH HHS P30 AI027767NIAID NIH HHS R21 AI097729
6 · The paper itself

Abstract

Immunotherapies targeting the PD-1 pathway produce durable responses in many cancers, but the tumor-intrinsic factors governing response and resistance are largely unknown. MHC-II expression on tumor cells can predict response to anti-PD-1 therapy. We therefore sought to determine how MHC-II expression by tumor cells promotes PD-1 dependency. Using transcriptional profiling of anti-PD-1-treated patients, we identified unique patterns of immune activation in MHC-II+ tumors. In patients and preclinical models, MHC-II+ tumors recruited CD4+ T cells and developed dependency on PD-1 as well as Lag-3 (an MHC-II inhibitory receptor), which was upregulated in MHC-II+ tumors at acquired resistance to anti-PD-1. Finally, we identify enhanced expression of FCRL6, another MHC-II receptor expressed on NK and T cells, in the microenvironment of MHC-II+ tumors. We ascribe this to what we believe to be a novel inhibitory function of FCRL6 engagement, identifying it as an immunotherapy target. These data suggest a MHC-II-mediated context-dependent mechanism of adaptive resistance to PD-1-targeting immunotherapy.

Indexed as

ImmunotherapyAdaptive ImmunityAnimalsAntibodies, NeutralizingAntigens, CDBreast NeoplasmsCD4-Positive T-LymphocytesCell Line, TumorHistocompatibility Antigens Class IIHLA-DR AntigensHumansKiller Cells, NaturalLigandsLymphocyte Activation Gene 3 ProteinMiceProgrammed Cell Death 1 ReceptorAntibodies, NeutralizingAntigens, CDFCRL6 protein, humanHistocompatibility Antigens Class IIHLA-DR AntigensLigandsLymphocyte Activation Gene 3 ProteinPDCD1 protein, humanProgrammed Cell Death 1 ReceptorReceptors, Antigen, T-CellReceptors, Cell SurfaceAdaptive immunityAntigen presentationCancer immunotherapyOncologyTherapeutics

Identifiers

PMID30568030
PMCPMC6338319
OpenAlexW2904276001

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.