Evidence map›Paper›PMID 31871298›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2020

4-1BB Agonism Averts TIL Exhaustion and Licenses PD-1 Blockade in Glioblastoma and Other Intracranial Cancers.

Karolina I Woroniecka, Kristen E Rhodin, Cosette Dechant, Xiuyu Cui, Pakawat Chongsathidkiet, Daniel Wilkinson, Jessica Waibl-Polania, Luis Sanchez-Perez, Peter E Fecci

Open access · greenAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
2.1field-weighted citation impact, top 11% 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, 65 citations in OpenAlex.

  1. Review
  2. CD8MedComm · 2026
    Review
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  9. IL-7-mediated expansion of autologous lymphocytes increases CD8bioRxiv : the preprint server for biology · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Cell Identity and Spatial Distribution of PD-1/PD-L1 Blockade Responders.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Review
  15. Article
  16. Armored bicistronic CAR T cells with dominant-negative TGF-β receptor II to overcome resistance in glioblastoma.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Article
  17. Article
  18. From glioma gloom to immune bloom: unveiling novel immunotherapeutic paradigms-a review.Journal of experimental & clinical cancer research : CR · 2024
    Review
  19. Article
  20. Article
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 1 country.

Karolina I WoronieckaDepartment of Pathology, Duke University Medical Center, Durham, North Carolina.
Kristen E RhodinDuke University School of Medicine, Durham, North Carolina.
Cosette DechantDuke University School of Medicine, Durham, North Carolina.
Xiuyu CuiPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, North Carolina.
Pakawat ChongsathidkietDepartment of Pathology, Duke University Medical Center, Durham, North Carolina.ORCID 0000-0001-5363-3061
Daniel WilkinsonPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, North Carolina.
Jessica Waibl-PolaniaDepartment of Pathology, Duke University Medical Center, Durham, North Carolina.ORCID 0000-0002-5204-8191
Luis Sanchez-PerezPreston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, North Carolina.
Peter E FecciDepartment of Pathology, Duke University Medical Center, Durham, North Carolina. peter.fecci@duke.edu.
Duke University · USDuke Medical Center · USPediatric Brain Tumor Foundation · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007171 · NIGMS · DUKE UNIVERSITY · PI KONTOS, CHRISTOPHER D · 1985 to 2021
$31.2M
Targeted Alpha-Particle Radiotheraphy of Brain Tumors with 211At-81C6 AntibodyP50CA190991 · NCI · DUKE UNIVERSITY · PI SAMPSON, JOHN H. · 2014 to 2023
$20.8M
NCI NIH HHS P50 CA190991NIGMS NIH HHS T32 GM007171
6 · The paper itself

Abstract

purposeThe success of checkpoint blockade against glioblastoma (GBM) has been disappointing. Anti-PD-1 strategies may be hampered by severe T-cell exhaustion. We sought to develop a strategy that might license new efficacy for checkpoint blockade in GBM. EXPERIMENTAL

designWe characterized 4-1BB expression in tumor-infiltrating lymphocytes (TIL) from human GBM. We implanted murine tumor models including glioma (CT2A), melanoma (B16), breast (E0771), and lung carcinomas intracranially and subcutaneously, characterized 4-1BB expression, and tested checkpoint blockade strategies

resultsOur data reveal that 4-1BB is frequently present on nonexhausted CD8

conclusionsAlthough poor T-cell activation and severe T-cell exhaustion appear to be limiting factors for checkpoint blockade in GBM, 4-1BB agonism obviates these limitations and produces long-term survival when combined with anti-PD-1 therapy. Furthermore, this combination therapy is limited by TIL 4-1BB expression, but not by the intracranial compartment, and therefore may be particularly well-suited to GBM.

Indexed as

AnimalsBrain NeoplasmsCD8-Positive T-LymphocytesCell Line, TumorDisease Models, AnimalFemaleGlioblastomaGliomaHumansLeukocytes, MononuclearLymphocytes, Tumor-InfiltratingMiceMice, Inbred C57BLProgrammed Cell Death 1 ReceptorSurvival RateTreatment OutcomeProgrammed Cell Death 1 ReceptorTumor Necrosis Factor Receptor Superfamily, Member 9

Identifiers

PMID31871298
PMCPMC7073290
OpenAlexW2996397420

What OpenQuestion holds

Textmetadata
LicenceTDM
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.