Evidence map›Paper›PMID 30828330›Full record

ReviewFrontiers in immunology2019

Role of Radiation Therapy in Modulation of the Tumor Stroma and Microenvironment.

Hari Menon, Rishab Ramapriyan, Taylor R Cushman, Vivek Verma, Hans H Kim, Jonathan E Schoenhals, Cemre Atalar, Ugur Selek, Stephen G Chun, Joe Y Chang and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 104 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 1 pooled it
15.0field-weighted citation impact, top 1% 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

104 citing papers in PubMed, 1 synthesis or guideline pooled it, 152 citations in OpenAlex.

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  8. Enhanced Antitumor Efficacy ofInternational journal of radiation oncology, biology, physics · 2026
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44 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

16 authors at 5 institutions in 2 countries.

Hari MenonDepartments of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Rishab RamapriyanDepartments of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Taylor R CushmanDepartments of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Vivek VermaDepartment of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, United States.
Hans H KimDepartment of Radiation Medicine, School of Medicine, Oregon Health and Sciences University, Portland, OR, United States.
Jonathan E SchoenhalsMedical School, University of Texas Southwestern, Dallas, TX, United States.
Cemre AtalarDepartments of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Ugur SelekDepartment of Radiation Oncology, School of Medicine, Koç University, Istanbul, Turkey.
Stephen G ChunDepartments of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Joe Y ChangDepartments of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Hampartsoum B BarsoumianDepartments of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Quynh-Nhu NguyenDepartments of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Mehmet AltanThoracic/Head and Neck Medical Oncology, Houston, TX, United States.
Maria A CortezExperimental Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.
Stephen M HahnDepartments of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
James W WelshDepartments of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
The University of Texas MD Anderson Cancer Center · USAllegheny General Hospital · USKoç University · TROregon Health & Science University · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent decades, there has been substantial growth in our understanding of the immune system and its role in tumor growth and overall survival. A central finding has been the cross-talk between tumor cells and the surrounding environment or stroma. This tumor stroma, comprised of various cells, and extracellular matrix (ECM), has been shown to aid in suppressing host immune responses against tumor cells. Through immunosuppressive cytokine secretion, metabolic alterations, and other mechanisms, the tumor stroma provides a complex network of safeguards for tumor proliferation. With recent advances in more effective, localized treatment, radiation therapy (XRT) has allowed for strategies that can effectively alter and ablate tumor stromal tissue. This includes promoting immunogenic cell death through tumor antigen release to increasing immune cell trafficking, XRT has a unique advantage against the tumoral immune evasion mechanisms that are orchestrated by stromal cells. Current studies are underway to elucidate pathways within the tumor stroma as potential targets for immunotherapy and chemoradiation. This review summarizes the effects of tumor stroma in tumor immune evasion, explains how XRT may help overcome these effects, with potential combinatorial approaches for future treatment modalities.

Indexed as

AnimalsCancer-Associated FibroblastsExtracellular MatrixHumansImmunityImmunomodulationNeoplasmsRadiation ToleranceRadiotherapyStromal CellsTumor Microenvironmentcancerimmunotherapyradiation therapy (radiotherapy)stromatumor microenvironment

Identifiers

PMID30828330
PMCPMC6384252
OpenAlexW2914382008

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.