Evidence map›Paper›PMID 30930892›Full record

ReviewFrontiers in immunology2019

Rationale for Combining Radiotherapy and Immune Checkpoint Inhibition for Patients With Hypoxic Tumors.

Franziska Eckert, Kerstin Zwirner, Simon Boeke, Daniela Thorwarth, Daniel Zips, Stephan M Huber

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 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 7% 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

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 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

6 authors at 3 institutions in 1 country.

Franziska EckertDepartment of Radiation Oncology, University Hospital Tuebingen, Tuebingen, Germany.
Kerstin ZwirnerDepartment of Radiation Oncology, University Hospital Tuebingen, Tuebingen, Germany.
Simon BoekeDepartment of Radiation Oncology, University Hospital Tuebingen, Tuebingen, Germany.
Daniela ThorwarthGerman Cancer Consortium (DKTK) Partnersite Tuebingen, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Daniel ZipsDepartment of Radiation Oncology, University Hospital Tuebingen, Tuebingen, Germany.
Stephan M HuberDepartment of Radiation Oncology, University Hospital Tuebingen, Tuebingen, Germany.
University of Tübingen · DEHeidelberg University · DEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In order to compensate for the increased oxygen consumption in growing tumors, tumors need angiogenesis and vasculogenesis to increase the supply. Insufficiency in this process or in the microcirculation leads to hypoxic tumor areas with a significantly reduced pO2, which in turn leads to alterations in the biology of cancer cells as well as in the tumor microenvironment. Cancer cells develop more aggressive phenotypes, stem cell features and are more prone to metastasis formation and migration. In addition, intratumoral hypoxia confers therapy resistance, specifically radioresistance. Reactive oxygen species are crucial in fixing DNA breaks after ionizing radiation. Thus, hypoxic tumor cells show a two- to threefold increase in radioresistance. The microenvironment is enriched with chemokines (e.g., SDF-1) and growth factors (e.g., TGFβ) additionally reducing radiosensitivity. During recent years hypoxia has also been identified as a major factor for immune suppression in the tumor microenvironment. Hypoxic tumors show increased numbers of myeloid derived suppressor cells (MDSCs) as well as regulatory T cells (T

Indexed as

Antineoplastic Agents, ImmunologicalChemokinesCombined Modality TherapyHumansHypoxiaImmunotherapyIntercellular Signaling Peptides and ProteinsLymphocyte ActivationMyeloid-Derived Suppressor CellsNeoplasmsOxygen ConsumptionRadiation, IonizingRadiation ToleranceT-Lymphocytes, CytotoxicT-Lymphocytes, RegulatoryTumor MicroenvironmentAntineoplastic Agents, ImmunologicalChemokinesIntercellular Signaling Peptides and Proteinscancerhypoxiaimmune checkpoint inhibitionimmunotherapyradiotherapyT cellsTregs

Identifiers

PMID30930892
PMCPMC6423917
OpenAlexW2920969903

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.