Evidence map›Paper›PMID 31143512›Full record

ArticleOncoimmunology

Impaired circulating myeloid CD1c+ dendritic cell function in human glioblastoma is restored by p38 inhibition - implications for the next generation of DC vaccines.

Jason Adhikaree, Hester Ann Franks, Constantinos Televantos, Poonam Vaghela, Aanchal Preet Kaur, David Walker, Marc Schmitz, Andrew Mark Jackson, Poulam Manubhai Patel

Open access · goldAbstract read
In one paragraph

Article in Oncoimmunology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

21 citing papers in PubMed, 33 citations in OpenAlex.

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  10. Clinical and Translational Advances in Glioma Immunotherapy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    Review
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  12. Article
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  19. Enhancing the efficacy of immunotherapy using radiotherapy.Clinical & translational immunology · 2020
    Review
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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

9 authors at 2 institutions in 2 countries.

Jason AdhikareeDivision of Cancer and Stem Cells, Host-Tumour Interactions Group, UK.
Hester Ann FranksDivision of Cancer and Stem Cells, Host-Tumour Interactions Group, UK.ORCID 0000-0001-5378-6076
Constantinos TelevantosDivision of Cancer and Stem Cells, Host-Tumour Interactions Group, UK.
Poonam VaghelaDivision of Cancer and Stem Cells, Host-Tumour Interactions Group, UK.
Aanchal Preet KaurDivision of Cancer and Stem Cells, Host-Tumour Interactions Group, UK.
David WalkerChildren's Brain Tumour Research Centre, University of Nottingham, Nottingham, UK.ORCID 0000-0002-1753-0839
Marc SchmitzInstitute of Immunology, Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany.
Andrew Mark JacksonDivision of Cancer and Stem Cells, Host-Tumour Interactions Group, UK.
Poulam Manubhai PatelDivision of Cancer and Stem Cells, Host-Tumour Interactions Group, UK.ORCID 0000-0002-1978-4066
German Cancer Research Center · DEUniversity of Nottingham · GB

Funding

Medical Research Council G0900336Medical Research Council MR/M003787/1Wellcome Trust
6 · The paper itself

Abstract

Current treatments for glioblastoma (GBM) have limited efficacy and significant morbidity and therefore new strategies are urgently needed. Dendritic cells have the power to create anti-tumor immune responses. The greater potency of circulating dendritic cells (DC) over laboratory-generated monocyte-derived DC makes them exciting new immunotherapeutic candidates. To determine the immune status of GBM patients we initially investigated the frequency and function of circulating DC subsets. Furthermore, we tested the therapeutic potential of inhibiting the p38 mitogen-activated protein kinase pathway (p38i) in circulating DC to overcome DC dysfunction. GBM patients (n = 16) had significantly reduced numbers of the major myeloid circulating dendritic cell (cDC2) and plasmacytoid DC vs healthy controls; 1736 vs 4975 (p = 0.028) and 893 vs 2287 cells/mL (P = <0.001) respectively. This inversely correlated with dexamethasone (Dex) dose in a log-linear model, and disease status. Patients' cDC2 were immature with impaired interleukin (IL)-12 secretion, reduced IL-12:IL-10 ratio, and low HLA-DR and CD86 expression. Exposure of healthy donor cDC2 to Dex or GBM cell lysate resulted in a similar low IL-12:IL-10 ratio. Inhibition of p38 restored the IL-12:IL-10 balance in Dex or tumor lysate-conditioned healthy cDC2 and enhanced T-cell proliferation and interferon-gamma (IFNγ) production. Importantly, patient-derived cDC2 showed a similar reversal of DC dysfunction with p38i. This study demonstrates the therapeutic potential of developing the next generation of DC vaccines using enhanced p38i-conditioned cDC2. We will therefore shortly embark on a clinical trial of adoptively transferred, p38 MAPK-inhibited cDC2 in adults with GBM.

Indexed as

dendritic cellGlioblastomaimmunotherapymitogen activated protein kinasesignalling

Identifiers

PMID31143512
PMCPMC6527277
OpenAlexW2939681859

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.