Evidence map›Paper›PMID 31213460›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2019

Rebalancing Protein Homeostasis Enhances Tumor Antigen Presentation.

Alex M Jaeger, Lauren Stopfer, Sunmin Lee, Giorgio Gaglia, Demi Sandel, Sandro Santagata, Nancy U Lin, Jane B Trepel, Forest White, Tyler Jacks and 2 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Tumor cell intrinsic mechanisms of immune escape.Cell communication and signaling : CCS · 2026
    Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Targeting proteostasis pathways for cancer therapy.Journal of pharmaceutical analysis · 2025
    Review
  10. Review
  11. Review
  12. Article
  13. Hsp90Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Alex M JaegerKoch Institute for Integrative Cancer Research, Massachusetts Institute of Technology Cambridge, Massachusetts.
Lauren StopferKoch Institute for Integrative Cancer Research, Massachusetts Institute of Technology Cambridge, Massachusetts.
Sunmin LeeDevelopmental Therapeutics Branch, National Cancer Institute, Bethesda, Maryland.ORCID 0000-0001-6011-151X
Giorgio GagliaWhitehead Institute for Biomedical Research, Cambridge, Massachusetts.ORCID 0000-0002-5179-4256
Demi SandelKoch Institute for Integrative Cancer Research, Massachusetts Institute of Technology Cambridge, Massachusetts.ORCID 0000-0002-4095-2036
Sandro SantagataDepartment of Pathology, Brigham and Women's Hospital, Boston, Massachusetts.ORCID 0000-0002-7528-9668
Nancy U LinDepartment of Oncologic Pathology, Harvard Medical School, Massachusetts.
Jane B TrepelDevelopmental Therapeutics Branch, National Cancer Institute, Bethesda, Maryland.
Forest WhiteKoch Institute for Integrative Cancer Research, Massachusetts Institute of Technology Cambridge, Massachusetts.
Tyler JacksKoch Institute for Integrative Cancer Research, Massachusetts Institute of Technology Cambridge, Massachusetts.
Susan LindquistWhitehead Institute for Biomedical Research, Cambridge, Massachusetts.
Luke WhitesellWhitehead Institute for Biomedical Research, Cambridge, Massachusetts. luke.whitesell@utoronto.ca.ORCID 0000-0001-6445-5766

Funding

VIRUS PRODUCTION COREP30CA014051 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI MATTHEW G. VANDER HEIDEN · 1985 to 2026
$93.9M
Signal Transduction Events and the Regulation of Cell GrowthZICSC006743 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI TREPEL, JANE B · 2009 to 2023
$13.8M
TRAINING GRANTS IN ENVIROMENTAL TOXICOLOGYT32ES007020 · NIEHS · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI ESSIGMANN, JOHN M · 1985 to 2024
$13.1M
Trans Network ProjectU54CA210180 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI WHITE, FOREST M · 2016 to 2020
$10.2M
Investigating the HSF1 Cancer NetworkR01CA194005 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI SANTAGATA, SANDRO · 2016 to 2020
$2.0M
NCI NIH HHS P30 CA014051NCI NIH HHS R01 CA194005NCI NIH HHS U54 CA210180NIEHS NIH HHS T32 ES007020
6 · The paper itself

Abstract

purposeDespite the accumulation of extensive genomic alterations, many cancers fail to be recognized as "foreign" and escape destruction by the host immune system. Immunotherapies designed to address this problem by directly stimulating immune effector cells have led to some remarkable clinical outcomes, but unfortunately, most cancers fail to respond, prompting the need to identify additional immunomodulatory treatment options.

resultsWe show that sustained, low-level inhibition of HSP90 both amplifies and diversifies the antigenic repertoire presented by tumor cells on MHC-I molecules through an IFNγ-independent mechanism. In stark contrast, we find that acute, high-dose exposure to HSP90 inhibitors, the only approach studied in the clinic to date, is broadly immunosuppressive in cell culture and in patients with cancer. In mice, chronic non-heat shock-inducing HSP90 inhibition slowed progression of colon cancer implants, but only in syngeneic animals with intact immune function. Addition of a single dose of nonspecific immune adjuvant to the regimen dramatically increased efficacy, curing a subset of mice receiving combination therapy.

conclusionsThese highly translatable observations support reconsideration of the most effective strategy for targeting HSP90 to treat cancers and suggest a practical approach to repurposing current orally bioavailable HSP90 inhibitors as a new immunotherapeutic strategy.

Indexed as

AnimalsAntigen PresentationAntigens, NeoplasmAntineoplastic AgentsCell Line, TumorColonic NeoplasmsHeterograftsHistocompatibility Antigens Class IHSP90 Heat-Shock ProteinsHumansImmunotherapyMiceProteostasisAntigens, NeoplasmAntineoplastic AgentsHistocompatibility Antigens Class IHSP90 Heat-Shock Proteins

Identifiers

PMID31213460
PMCPMC6825536

What OpenQuestion holds

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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.