Evidence map›Paper›PMID 31189943›Full record

Trial reportScientific reports2019

Transcriptomic profiles conducive to immune-mediated tumor rejection in human breast cancer skin metastases treated with Imiquimod.

Mariya Rozenblit, Wouter Hendrickx, Adriana Heguy, Luis Chiriboga, Cynthia Loomis, Karina Ray, Farbod Darvishian, Mikala Egeblad, Sandra Demaria, Francesco M Marincola and 2 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2019. 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
2.7field-weighted citation impact, top 8% 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, 39 citations in OpenAlex.

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  9. The immune landscape of solid pediatric tumors.Journal of experimental & clinical cancer research : CR · 2022
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  18. Clinical implication of cellular vaccine in glioma: current advances and future prospects.Journal of experimental & clinical cancer research : CR · 2020
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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

12 authors at 6 institutions in 2 countries.

Mariya RozenblitDepartment of Hematology Oncology, Yale University School of Medicine, New Haven, Connecticut, USA.
Wouter HendrickxTumor Biology, Immunology, and Therapy Section, Immunology, Inflammation, and Metabolism Department, Division of Translational Medicine, Sidra Medicine, Doha, Qatar.ORCID http://orcid.org/0000-0002-7649-5092
Adriana HeguyDepartment of Pathology, New York University School of Medicine, New York, New York, USA.
Luis ChiribogaDepartment of Pathology, New York University School of Medicine, New York, New York, USA.ORCID http://orcid.org/0000-0002-2028-6873
Cynthia LoomisDepartment of Pathology, New York University School of Medicine, New York, New York, USA.
Karina RayDepartment of Pathology, New York University School of Medicine, New York, New York, USA.ORCID http://orcid.org/0000-0001-5077-3747
Farbod DarvishianDepartment of Pathology, New York University School of Medicine, New York, New York, USA.
Mikala EgebladCold Spring Harbor Laboratory, Cold Spring Harbor, New York, New York, USA.
Sandra DemariaDepartment of Radiation Oncology Weill Cornell Medical College, New York, New York, USA.ORCID http://orcid.org/0000-0003-4426-0499
Francesco M MarincolaRefuge Biotechnologies Inc, Menlo Park, CA, USA.
Davide BedognettiTumor Biology, Immunology, and Therapy Section, Immunology, Inflammation, and Metabolism Department, Division of Translational Medicine, Sidra Medicine, Doha, Qatar. dbedognetti@sidra.org.
Sylvia AdamsLaura & Isaac Perlmutter Cancer Center, New York University School of Medicine, New York, New York, USA. Sylvia.Adams@nyumc.org.
New York University · USCold Spring Harbor Laboratory · USCornell University · USQatar Airways (Qatar) · QARefuge Biotechnologies (United States) · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Imiquimod is a topical toll-like-receptor-7 agonist currently used for treating basal cell carcinoma. Recently, imiquimod has demonstrated tumor regression in melanoma and breast cancer skin metastases. However, the molecular perturbations induced by imiquimod in breast cancer metastases have not been previously characterized. Here, we describe transcriptomic profiles associated with responsiveness to imiquimod in breast cancer skin metastases. Baseline and post-treatment tumor samples from patients treated with imiquimod in a clinical trial were profiled using Nanostring technology. Through an integrative analytic pipeline, we showed that tumors from patients who achieved a durable clinical response displayed a permissive microenvironment, substantiated by the upregulation of transcripts encoding for molecules involved in leukocyte adhesion and migration, cytotoxic functions, and antigen presentation. In responding patients, Imiquimod triggered a strong T-helper-1 (Th-1)/cytotoxic immune response, characterized by the coordinated upregulation of Th-1 chemokines, migration of Th-1 and cytotoxic T cells into the tumor, and activation of immune-effector functions, ultimately mediating tumor destruction. In conclusion, we have shown that topical imiquimod can induce a robust immune response in breast cancer metastases, and this response is more likely to occur in tumors with a pre-activated microenvironment. In this setting, imiquimod could be utilized in combination with other targeted immunotherapies to increase therapeutic efficacy.

Indexed as

CD8-Positive T-LymphocytesGene Expression ProfilingSkin NeoplasmsTh1 CellsAdultAgedBreast NeoplasmsFemaleHumansImiquimodImmunity, CellularMiddle AgedNeoplasm MetastasisImiquimod

Identifiers

PMID31189943
PMCPMC6561945
OpenAlexW2951516194

What OpenQuestion holds

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LicenceCC BY
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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.