Evidence map›Paper›PMID 31881743›Full record

ReviewInternational journal of molecular sciences2019

Endoplasmic Reticulum Stress Pathway, the Unfolded Protein Response, Modulates Immune Function in the Tumor Microenvironment to Impact Tumor Progression and Therapeutic Response.

Manuel U Ramirez, Salvador R Hernandez, David R Soto-Pantoja, Katherine L Cook

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
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  6. CanPharmaceuticals (Basel, Switzerland) · 2025
    Review
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  12. Protective effects of Salubrinal against HFrontiers in pharmacology · 2025
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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

4 authors at 1 institution in 1 country.

Manuel U RamirezDepartment of Physiology and Pharmacology, Wake Forest University Health Sciences, Winston-Salem, NC 27157, USA.
Salvador R HernandezDigital Illustrator, Winston Salem, NC 27103, USA.
David R Soto-PantojaDepartment of Surgery, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Katherine L CookDepartment of Surgery, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Wake Forest University · US

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Postdoctoral Research, Instruction, and Mentoring Experience (PRIME)K12GM102773 · NIGMS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HOWLETT, ALLYN C · 2013 to 2018
$2.6M
Therapeutic targeting of CD47 regulates tumor cell bioenergetics and mitophagyK22CA181274 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SOTO PANTOJA, DAVID R. · 2015 to 2018
$550k
NCI NIH HHS 1K22CA181274NCI NIH HHS P30CA012197NIGMS NIH HHS K12 GM102773NIH HHS 1K12-GM102773Susan G. Komen CCR18547795
6 · The paper itself

Abstract

Despite advances in cancer therapy, several persistent issues remain. These include cancer recurrence, effective targeting of aggressive or therapy-resistant cancers, and selective treatments for transformed cells. This review evaluates the current findings and highlights the potential of targeting the unfolded protein response to treat cancer. The unfolded protein response, an evolutionarily conserved pathway in all eukaryotes, is initiated in response to misfolded proteins accumulating within the lumen of the endoplasmic reticulum. This pathway is initially cytoprotective, allowing cells to survive stressful events; however, prolonged activation of the unfolded protein response also activates apoptotic responses. This balance is key in successful mammalian immune response and inducing cell death in malignant cells. We discuss how the unfolded protein response affects cancer progression, survival, and immune response to cancer cells. The literature shows that targeting the unfolded protein response as a monotherapy or in combination with chemotherapy or immunotherapies increases the efficacy of these drugs; however, systemic unfolded protein response targeting may yield deleterious effects on immune cell function and should be taken into consideration. The material in this review shows the promise of both approaches, each of which merits further research.

Indexed as

Endoplasmic Reticulum StressTumor MicroenvironmentUnfolded Protein ResponseeIF-2 KinaseEndoplasmic Reticulum Chaperone BiPEndoribonucleasesHeat-Shock ProteinsHumansNeoplasmsProtein Serine-Threonine KinasesSignal TransductionT-LymphocyteseIF-2 KinaseEndoplasmic Reticulum Chaperone BiPEndoribonucleasesERN1 protein, humanHeat-Shock ProteinsHSPA5 protein, humanProtein Serine-Threonine KinasesActivating transcription factor 6 (ATF6)Glucose-regulated protein 78 (GRP78)immune cellsInositol-requiring enzyme 1 (IRE1)macrophagePKR-like endoplasmic reticulum kinase (PERK)T celltumor microenvironmentunfolded protein response

Identifiers

PMID31881743
PMCPMC6981480
OpenAlexW2997195262

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.