Evidence map›Paper›PMID 31637474›Full record

ArticleCancer immunology, immunotherapy : CII2019

Combining alpha radiation-based brachytherapy with immunomodulators promotes complete tumor regression in mice via tumor-specific long-term immune response.

Vered Domankevich, Adi Cohen, Margalit Efrati, Michael Schmidt, Hans-Georg Rammensee, Sujit S Nair, Ashutosh Tewari, Itzhak Kelson, Yona Keisari

Open access · hybridAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
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  7. Iodine-125 plesiotherapy for murine tumor treatment.Radiation oncology (London, England) · 2025
    Article
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  19. Review
  20. Biomedical Radioactive Glasses for Brachytherapy.Materials (Basel, Switzerland) · 2021
    Review
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 3 institutions in 3 countries.

Vered DomankevichDepartment of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 39040, 6997801, Tel Aviv, Israel.
Adi CohenDepartment of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 39040, 6997801, Tel Aviv, Israel.
Margalit EfratiDepartment of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 39040, 6997801, Tel Aviv, Israel.
Michael SchmidtSchool of Physics and Astronomy, Sackler Faculty of Exact Sciences, Tel Aviv University, Tel Aviv, Israel.
Hans-Georg RammenseeDepartment of Immunology, Institute for Cell Biology, University of Tübingen, Tübingen, Germany.
Sujit S NairDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ashutosh TewariDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Itzhak KelsonSchool of Physics and Astronomy, Sackler Faculty of Exact Sciences, Tel Aviv University, Tel Aviv, Israel.
Yona KeisariDepartment of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel Aviv University, P.O. Box 39040, 6997801, Tel Aviv, Israel. ykeisari@tauex.tau.ac.il.
Tel Aviv University · ILIcahn School of Medicine at Mount Sinai · USUniversity of Tübingen · DE

Funding

Israel Innovation Authority 61011
6 · The paper itself

Abstract

Diffusing alpha-emitters radiation therapy (DaRT) is the only known method for treating solid tumors with highly destructive alpha radiation. More importantly, as a monotherapy, DaRT has been shown to induce a systemic antitumor immune response following tumor ablation. Here, immunomodulatory strategies to boost the antitumor immune response induced by DaRT, and the response specificity, were investigated in the colon cancer CT26 mouse model. Local treatment prior to DaRT, with the TLR3 agonist poly I:C, was sufficient to inhibit tumor growth relative to poly I:C or DaRT alone. DaRT used in combination with the TLR9 agonist CpG, or with the TLR1/2 agonist XS15 retarded tumor growth and increased tumor-rejection rates, compared to DaRT alone, curing 41% and 20% of the mice, respectively. DaRT in combination with CpG, the Treg inhibitor cyclophosphamide, and the MDSC inhibitor sildenafil, cured 51% of the animals, compared to only 6% and 0% cure when immunomodulation or DaRT was used alone, respectively. Challenge and Winn assays revealed that these high cure rates involved a specific immunological memory against CT26 antigens. We suggest that DaRT acts in synergy with immunomodulation to induce a specific and systemic antitumor immune response. This strategy may serve as a safe and efficient method not only for tumor ablation, but also for in situ vaccination of cancer patients.

Indexed as

BrachytherapyAlpha ParticlesAnimalsAntigens, NeoplasmAntineoplastic Combined Chemotherapy ProtocolsCells, CulturedColonic NeoplasmsCyclophosphamideFemaleHumansImmunityImmunologic FactorsImmunologic MemoryImmunosuppressive AgentsMiceMice, Inbred BALB CAntigens, NeoplasmCyclophosphamideImmunologic FactorsImmunosuppressive AgentsPoly I-CCpGMDSCPoly I:CTregTumor ablationXS15

Identifiers

PMID31637474
PMCPMC6877484
OpenAlexW2981706243

What OpenQuestion holds

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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.